Provider Demographics
NPI:1972056570
Name:BELL, HAROLD
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:
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 1:7116 FOXBOROUGH DR
Mailing Address - Street 2:APARTMENT 1-D
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1216
Mailing Address - Country:US
Mailing Address - Phone:317-625-4996
Mailing Address - Fax:
Practice Address - Street 1:7116 FOXBOROUGH DR
Practice Address - Street 2:APARTMENT 1-D
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-1216
Practice Address - Country:US
Practice Address - Phone:317-625-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201359450Medicaid