| Stephanie Bell West, Llc | |
|
6542 Anthony Dr Maumee OH 43537-9778 | |
| (567) 220-9195 | |
| Not Available |
| Full Name | Stephanie Bell West, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6542 Anthony Dr, Maumee, Ohio |
| Authorized Official Name and Position | Stephanie Bell West (MEMBER) |
| Authorized Official Contact | 5672209195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Bell West, Llc 6542 Anthony Dr Maumee OH 43537-9778 Ph: (567) 220-9195 | Stephanie Bell West, Llc 6542 Anthony Dr Maumee OH 43537-9778 Ph: (567) 220-9195 |
| NPI Number | 1700574746 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5294192613 |
|---|---|
| Medicare Enrollment ID | O20230530003259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700574746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Marie Bell West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295256436 PECOS PAC ID: 6103283528 Enrollment ID: I20230530003293 |
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