Provider Demographics
NPI:1376391789
Name:BELL, REYSHAWNA (LPCA)
Entity type:Individual
Prefix:
First Name:REYSHAWNA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:REY
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCA
Mailing Address - Street 1:8707 HOLLOW BAY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3299
Mailing Address - Country:US
Mailing Address - Phone:760-985-7754
Mailing Address - Fax:
Practice Address - Street 1:7200 NORTH LOOP E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-5951
Practice Address - Country:US
Practice Address - Phone:713-281-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health