Provider Demographics
NPI:1124258249
Name:BELL, RACHEL LEE (MS)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEE
Last Name:BELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEE
Other - Last Name:GULLICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 E. MAIN ST.
Mailing Address - Street 2:RESOURCE MANAGEMENT
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7211
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:1921 STONECIPHER BLVD.
Practice Address - Street 2:CHICKASAW NATION MEDICAL CENTER
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-436-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OK5088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health