Individual
AYSHA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2575 DELK RD SE APT 1110H, MARIETTA, GA 30067-6510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APC006006
—
GA
Enumeration date
01/22/2019
Last updated
01/22/2019
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