Provider Demographics
NPI:1194879189
Name:BELL, NANCY L (MC, LMHC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:BELL
Suffix:
Gender:F
Credentials:MC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 LAKE WASHINGTON BLVD N
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1508
Mailing Address - Country:US
Mailing Address - Phone:425-453-1583
Mailing Address - Fax:
Practice Address - Street 1:1 LAKE BELLEVUE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2417
Practice Address - Country:US
Practice Address - Phone:425-453-1583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003401101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health