Provider Demographics
NPI:1295195840
Name:BELL, PATRICIA (PHD PASTORAL COUNS)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:PHD PASTORAL COUNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20400 NETTLETON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32833-4040
Mailing Address - Country:US
Mailing Address - Phone:407-486-5829
Mailing Address - Fax:321-804-4857
Practice Address - Street 1:20400 NETTLETON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32833-4040
Practice Address - Country:US
Practice Address - Phone:407-486-5829
Practice Address - Fax:321-804-4857
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7390101YM0800X
372600000X, 374K00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No372600000XNursing Service Related ProvidersAdult Companion
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner