Provider Demographics
NPI:1699011452
Name:BELL, RACHAEL SUZANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:SUZANNE
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2591 US HIGHWAY 17
Mailing Address - Street 2:SUIT 304 D
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-3864
Mailing Address - Country:US
Mailing Address - Phone:912-704-8262
Mailing Address - Fax:
Practice Address - Street 1:2591 US HIGHWAY 17
Practice Address - Street 2:SUIT 304 D
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3864
Practice Address - Country:US
Practice Address - Phone:912-704-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALOC006884101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor