Provider Demographics
NPI:1902109119
Name:BELL FAMILY THERAPY
Entity Type:Organization
Organization Name:BELL FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:316-247-1199
Mailing Address - Street 1:8113 W 16TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-5854
Mailing Address - Country:US
Mailing Address - Phone:316-247-1199
Mailing Address - Fax:866-308-4077
Practice Address - Street 1:162 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4919
Practice Address - Country:US
Practice Address - Phone:316-247-1199
Practice Address - Fax:866-308-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS838106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty