Provider Demographics
NPI:1952674616
Name:BELL, MARCY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MICA TRL
Mailing Address - Street 2:
Mailing Address - City:MAXWELL
Mailing Address - State:TX
Mailing Address - Zip Code:78656-2015
Mailing Address - Country:US
Mailing Address - Phone:512-585-5315
Mailing Address - Fax:
Practice Address - Street 1:2605 JONES RD STE E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-2684
Practice Address - Country:US
Practice Address - Phone:512-585-5315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60247859101YM0800X
TX68706101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX295824101Medicaid