Provider Demographics
NPI:1972738334
Name:BELL, SUSANNA M G (PHDLPC,NCC)
Entity Type:Individual
Prefix:DR
First Name:SUSANNA
Middle Name:M G
Last Name:BELL
Suffix:
Gender:F
Credentials:PHDLPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 SUMMITRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9560
Mailing Address - Country:US
Mailing Address - Phone:336-656-7416
Mailing Address - Fax:336-656-7416
Practice Address - Street 1:7704 SUMMITRIDGE DR
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9560
Practice Address - Country:US
Practice Address - Phone:336-656-7416
Practice Address - Fax:336-656-7416
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional