Provider Demographics
NPI:1922469493
Name:BELL, KIMBERLY (LCMHC, MLADC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LCMHC, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:TAMWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03886-0086
Mailing Address - Country:US
Mailing Address - Phone:603-617-2119
Mailing Address - Fax:
Practice Address - Street 1:90 ODELL HILL RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-4401
Practice Address - Country:US
Practice Address - Phone:603-617-2119
Practice Address - Fax:603-617-2119
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)