Provider Demographics
NPI:1902209588
Name:PETE BELL, LCSW, INC.
Entity Type:Organization
Organization Name:PETE BELL, LCSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-680-6662
Mailing Address - Street 1:2282 EASTWAY RD.
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-1657
Mailing Address - Country:US
Mailing Address - Phone:404-680-6662
Mailing Address - Fax:888-652-7849
Practice Address - Street 1:2282 EASTWAY RD.
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5508
Practice Address - Country:US
Practice Address - Phone:404-680-6662
Practice Address - Fax:888-652-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0050701041C0700X, 305S00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of Service