Active NPI
Mai-Lan Quique Bell
- Pastoral Counselor
- Atlanta, GA
National Provider Identifier
1700779998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 12192024-3R
- Practice address
- 267 Chalmers Dr NW
Atlanta, GA 30318-7401 - Phone
- (470) 530-4673
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 12192024-3R | GA | Primary |
Addresses
Primary practice location
267 Chalmers Dr NW
Atlanta, GA 30318-7401
Mailing address
267 Chalmers Dr NW
Atlanta, GA 30318-7401
Phone (470) 530-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12192024-3R | GA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1700779998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 CHALMERS DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303187401",
"telephone_number": "470-530-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 CHALMERS DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303187401",
"telephone_number": "470-530-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "MAI-LAN",
"middle_name": "QUIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "12192024-3R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.