Provider Demographics
NPI:1952032237
Name:BELL, TAYLA R
Entity Type:Individual
Prefix:
First Name:TAYLA
Middle Name:R
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5339 N 13TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47805-1613
Mailing Address - Country:US
Mailing Address - Phone:812-262-9235
Mailing Address - Fax:
Practice Address - Street 1:5339 N 13TH ST # 2
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47805-1613
Practice Address - Country:US
Practice Address - Phone:812-262-9235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-18
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health