Provider Demographics
NPI:1215455183
Name:BELL, TARA LYNN (LISW)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6457 REFLECTIONS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2352
Mailing Address - Country:US
Mailing Address - Phone:614-792-1108
Mailing Address - Fax:
Practice Address - Street 1:6457 REFLECTIONS DR STE 120
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2352
Practice Address - Country:US
Practice Address - Phone:614-792-1108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH48171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical