Provider Demographics
NPI:1134751225
Name:ALEXANDER-BELL, ERIN DARLENE
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DARLENE
Last Name:ALEXANDER-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 1:2237 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2702
Mailing Address - Country:US
Mailing Address - Phone:269-552-8011
Mailing Address - Fax:
Practice Address - Street 1:259 HOOVER BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3790
Practice Address - Country:US
Practice Address - Phone:616-460-0174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional