Provider Demographics
NPI:1134391709
Name:BREANNA BELL, MA, SR.LPE, LLC
Entity type:Organization
Organization Name:BREANNA BELL, MA, SR.LPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPITS
Authorized Official - Prefix:MS
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA,SRLPE
Authorized Official - Phone:615-893-9949
Mailing Address - Street 1:151 HERITAGE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129
Mailing Address - Country:US
Mailing Address - Phone:615-893-9949
Mailing Address - Fax:615-893-9927
Practice Address - Street 1:151 HERITAGE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-893-9949
Practice Address - Fax:615-893-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE00011176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1972656882OtherINDIVIDUAL NPI NUMBER