Provider Demographics
NPI:1205524527
Name:BELL, MARISSA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:LEIGH
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 1:751 HEBRON PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5054
Mailing Address - Country:US
Mailing Address - Phone:214-396-3848
Mailing Address - Fax:469-453-3083
Practice Address - Street 1:751 HEBRON PKWY STE 320
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5054
Practice Address - Country:US
Practice Address - Phone:806-239-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional