Provider Demographics
NPI:1124345137
Name:BELL FAMILY THERAPY AND HEALTH SOLUTIONS A PROFESSIONAL CORPORATI
Entity type:Organization
Organization Name:BELL FAMILY THERAPY AND HEALTH SOLUTIONS A PROFESSIONAL CORPORATI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, PHD
Authorized Official - Phone:415-710-9777
Mailing Address - Street 1:327 N SAN MATEO DR STE 10
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2585
Mailing Address - Country:US
Mailing Address - Phone:415-710-9777
Mailing Address - Fax:
Practice Address - Street 1:327 N SAN MATEO DR STE 10
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2585
Practice Address - Country:US
Practice Address - Phone:415-710-9777
Practice Address - Fax:650-403-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 1041C0700X, 171M00000X, 174H00000X, 251B00000X, 251J00000X, 251K00000X, 101Y00000X, 251S00000X, 291U00000X, 251S00000X, 291U00000X
CAMFC 38966106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty