Provider Demographics
NPI:1669272480
Name:BELL, TAMIKIA LYNNE (LCDC)
Entity type:Individual
Prefix:
First Name:TAMIKIA
Middle Name:LYNNE
Last Name:BELL
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PINEDALE PL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-9648
Mailing Address - Country:US
Mailing Address - Phone:848-525-4655
Mailing Address - Fax:
Practice Address - Street 1:1021 PINEDALE PL
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9648
Practice Address - Country:US
Practice Address - Phone:848-525-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15138101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)