Provider Demographics
NPI:1316247968
Name:BELL, KOREEM RASHAD
Entity type:Individual
Prefix:MR
First Name:KOREEM
Middle Name:RASHAD
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 FRANCIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320
Mailing Address - Country:US
Mailing Address - Phone:610-745-8173
Mailing Address - Fax:
Practice Address - Street 1:744 EAST LINCOLN HIGHWAY
Practice Address - Street 2:SUITE B
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3081
Practice Address - Country:US
Practice Address - Phone:610-383-5635
Practice Address - Fax:610-383-6851
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health