Provider Demographics
NPI:1891424032
Name:BELL, CAROL FLITNER (MA, PPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:FLITNER
Last Name:BELL
Suffix:
Gender:F
Credentials:MA, PPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-4431
Mailing Address - Country:US
Mailing Address - Phone:307-272-1389
Mailing Address - Fax:
Practice Address - Street 1:1131 13TH ST STE 106
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3600
Practice Address - Country:US
Practice Address - Phone:307-272-1389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-1310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional