Provider Demographics
NPI:1487345088
Name:BELL, MARY CATHERINE (RN-BC, QMHP-A/C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:BELL
Suffix:
Gender:F
Credentials:RN-BC, QMHP-A/C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 ADMISSIONS CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1049
Mailing Address - Country:US
Mailing Address - Phone:757-390-8664
Mailing Address - Fax:
Practice Address - Street 1:7447 CENTRAL BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2867
Practice Address - Country:US
Practice Address - Phone:757-390-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0732007216101YM0800X
VA0733006490101YM0800X
VA0001255949163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health