Provider Demographics
NPI:1962860759
Name:BELL, HEATHER OLIVIJA (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:OLIVIJA
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:OLIVIJA
Other - Last Name:GAUTHIER-BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LICSW
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:062-764-2441
Mailing Address - Fax:
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW607224771041C0700X
101YM0800X
ORL107531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health