Roosevelt Bell, MSP
Technician, Other in Flint, MI. Individual provider (NPI-1).
NPI number1205358397
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1205358397
- Entity type
- Individual (NPI-1)
- Name
- Roosevelt Bell
- Credential
- MSP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2017
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | MI | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – |
Practice location
2401 S Linden RdFlint, MI 48532-9800
Phone 800-395-3223 · Fax 248-620-6405
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223 · Fax 248-620-6405
Other practice locations
3919 Adirolf Rd
Jacksonville, FL 32207-4723
Jacksonville, FL 32207-4723
Phone 904-302-4598
3919 Adirolf Rd
Jacksonville, FL 32207-4723
Jacksonville, FL 32207-4723
Phone 904-302-4598
1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Jacksonville, FL 32208-3200
Phone 904-765-0665
3919 Adirolf Rd
Jacksonville, FL 32207-4723
Jacksonville, FL 32207-4723
Phone 904-302-4598
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