Provider Demographics
NPI:1255828711
Name:THARPE-BELL, CALVIN
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:
Last Name:THARPE-BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1857 ATWOOD DR APT 11A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-7513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 SOUTH HWY 29
Practice Address - Street 2:PENSACOLA METRO TREATMENT CENTER
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533-3253
Practice Address - Country:US
Practice Address - Phone:850-968-3575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling