Provider Demographics
NPI:1679083331
Name:BELL, JAMIE NICOLE (LPCA)
Entity type:Individual
Prefix:MISS
First Name:JAMIE
Middle Name:NICOLE
Last Name:BELL
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-0072
Mailing Address - Country:US
Mailing Address - Phone:606-401-2075
Mailing Address - Fax:606-401-2076
Practice Address - Street 1:20 LOVELL COURT
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456
Practice Address - Country:US
Practice Address - Phone:606-401-2075
Practice Address - Fax:606-401-2076
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional