Basic Information
| Provider Information | |||||||||
| NPI: | 1679986251 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | HEATHER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 741 DELAWARE AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142092201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7162181400 | ||||||||
| FaxNumber: | 7163322820 | ||||||||
| Practice Location | |||||||||
| Address1: | 14014 ROUTE 31 WEST | ||||||||
| Address2: | |||||||||
| City: | ALBION | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144119301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5855897066 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2014 | ||||||||
| LastUpdateDate: | 08/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 00089129 | NY | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 091783-01 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.