Provider Demographics
NPI:1821045741
Name:BELL, KATHLEEN (LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24160 SR 54
Mailing Address - Street 2:UNIT 5
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559
Mailing Address - Country:US
Mailing Address - Phone:813-714-8159
Mailing Address - Fax:813-991-9381
Practice Address - Street 1:24160 SR 54
Practice Address - Street 2:UNIT 5
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559
Practice Address - Country:US
Practice Address - Phone:813-714-8159
Practice Address - Fax:813-991-9381
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health