Provider Demographics
NPI:1386936896
Name:BELL, MAGGIE M (PLPC)
Entity type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:M
Last Name:BELL
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 E SUNSHINE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1819
Mailing Address - Country:US
Mailing Address - Phone:417-881-1850
Mailing Address - Fax:417-881-7004
Practice Address - Street 1:2200 E SUNSHINE ST
Practice Address - Street 2:SUITE 312
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1819
Practice Address - Country:US
Practice Address - Phone:417-881-1850
Practice Address - Fax:417-881-7004
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010042010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional