Provider Demographics
NPI:1174340855
Name:BELL, COURTNEY RENAE
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RENAE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:RENAE
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:GARNETT
Mailing Address - State:KS
Mailing Address - Zip Code:66032-1030
Mailing Address - Country:US
Mailing Address - Phone:785-433-1102
Mailing Address - Fax:
Practice Address - Street 1:124 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1030
Practice Address - Country:US
Practice Address - Phone:785-433-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician