Provider Demographics
NPI:1912458308
Name:BELL, WILLIAM (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 E DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-3504
Mailing Address - Country:US
Mailing Address - Phone:620-213-9185
Mailing Address - Fax:
Practice Address - Street 1:622 E DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3504
Practice Address - Country:US
Practice Address - Phone:620-213-9185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015678101YP2500X
KS101YP2500X
MI6401017490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional