Basic Information
| Provider Information | |||||||||
| NPI: | 1386936896 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | MAGGIE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PLPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 E SUNSHINE ST | ||||||||
| Address2: | SUITE 312 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658041819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178811850 | ||||||||
| FaxNumber: | 4178817004 | ||||||||
| Practice Location | |||||||||
| Address1: | 2200 E SUNSHINE ST | ||||||||
| Address2: | SUITE 312 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658041819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178811850 | ||||||||
| FaxNumber: | 4178817004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2011 | ||||||||
| LastUpdateDate: | 05/03/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 2010042010 | MO | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.