Provider Demographics
NPI:1144976242
Name:BELL, NAKITA TAMU (LMSW)
Entity type:Individual
Prefix:MS
First Name:NAKITA
Middle Name:TAMU
Last Name:BELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:NAKITA
Other - Middle Name:TAMU
Other - Last Name:BELL-BAUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:916 FOREST POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4363
Mailing Address - Country:US
Mailing Address - Phone:678-613-8338
Mailing Address - Fax:
Practice Address - Street 1:250 GEORGIA AVE SE STE 206
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3000
Practice Address - Country:US
Practice Address - Phone:037-440-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW003545104100000X
6851108427104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker