Provider Demographics
NPI:1962786053
Name:BELL, ERIKA (LAC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:925 W HEATHERBRAE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3007
Mailing Address - Country:US
Mailing Address - Phone:602-793-6464
Mailing Address - Fax:
Practice Address - Street 1:3620 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2020
Practice Address - Country:US
Practice Address - Phone:602-230-7373
Practice Address - Fax:602-230-5105
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-12984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health