Provider Demographics
NPI:1942787809
Name:BELL, SHANI D (LPC, ATR)
Entity Type:Individual
Prefix:MS
First Name:SHANI
Middle Name:D
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16319 MORNING QUAIL CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5408
Mailing Address - Country:US
Mailing Address - Phone:713-320-3646
Mailing Address - Fax:
Practice Address - Street 1:2616 S LOOP W STE 665
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2790
Practice Address - Country:US
Practice Address - Phone:713-320-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional