Provider Demographics
NPI:1255800025
Name:AMY BELL LMFT INC.
Entity type:Organization
Organization Name:AMY BELL LMFT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:760-815-4583
Mailing Address - Street 1:130 W E ST
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3519
Mailing Address - Country:US
Mailing Address - Phone:760-815-4583
Mailing Address - Fax:760-290-9932
Practice Address - Street 1:130 W E ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3519
Practice Address - Country:US
Practice Address - Phone:760-815-4583
Practice Address - Fax:760-290-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1801299748Medicaid