Provider Demographics
NPI:1184892408
Name:BELL, SHEILA (LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 BULL ST
Mailing Address - Street 2:SUITE 231
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-2016
Mailing Address - Country:US
Mailing Address - Phone:912-236-3368
Mailing Address - Fax:912-236-3368
Practice Address - Street 1:3025 BULL ST
Practice Address - Street 2:SUITE 231
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-2016
Practice Address - Country:US
Practice Address - Phone:912-236-3368
Practice Address - Fax:912-236-3368
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA305328035AMedicaid