Provider Demographics
NPI:1740437383
Name:BELL, LADEANA DAWN (MS, LPE)
Entity type:Individual
Prefix:MS
First Name:LADEANA
Middle Name:DAWN
Last Name:BELL
Suffix:
Gender:F
Credentials:MS, LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 AUTUMN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3763
Mailing Address - Country:US
Mailing Address - Phone:501-223-8414
Mailing Address - Fax:501-223-8535
Practice Address - Street 1:1012 AUTUMN RD STE 3
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3763
Practice Address - Country:US
Practice Address - Phone:501-223-8414
Practice Address - Fax:501-223-8535
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR94-16EI103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling