Provider Demographics
NPI:1841766896
Name:BELL, TERRA LEIGH (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:TERRA LEIGH
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 3RD AVE STE 835
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1189
Mailing Address - Country:US
Mailing Address - Phone:206-612-2691
Mailing Address - Fax:
Practice Address - Street 1:1904 3RD AVE STE 835
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1189
Practice Address - Country:US
Practice Address - Phone:206-612-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61295736101YM0800X
WAMC60983276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH61295736OtherDEPARTMENT OF HEALTH