Provider Demographics
NPI:1871922526
Name:BELL, TRACY L (LPC, LCAS-A)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:L
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4039 MASONBORO LOOP RD STE 1N
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-3622
Mailing Address - Country:US
Mailing Address - Phone:910-599-8654
Mailing Address - Fax:
Practice Address - Street 1:4039 MASONBORO LOOP RD STE 1N
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-3622
Practice Address - Country:US
Practice Address - Phone:910-599-8654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9928101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health