Dennis Dale Wells, NCC, LPC, LPCS | |
711 Fairview St, Fountain Inn, SC 29644-1541 | |
(803) 318-5400 | |
Not Available |
Full Name | Dennis Dale Wells |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 711 Fairview St, Fountain Inn, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861711665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5472 (South Carolina) | Primary |
Entity Name | Wells Therapy Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003622622 PECOS PAC ID: 4385172774 Enrollment ID: O20250113003247 |
Mailing Address | Practice Location Address |
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Dennis Dale Wells, NCC, LPC, LPCS 711 Fairview St, Fountain Inn, SC 29644-1541 Ph: (803) 318-5400 | Dennis Dale Wells, NCC, LPC, LPCS 711 Fairview St, Fountain Inn, SC 29644-1541 Ph: (803) 318-5400 |
Sydney Funderburk, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Fairview St, Fountain Inn, SC 29644 Phone: 864-884-5669 | |
Kimberlie N Davidson, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Kings Dr, Fountain Inn, SC 29644 Phone: 828-273-6234 | |
Mrs. Debra Ann Munford, MS, LPC, LAC, LAC-S Counselor Medicare: Medicare Enrolled Practice Location: 28 Kendals Ln, Fountain Inn, SC 29644 Phone: 843-618-4658 Fax: 843-954-6066 | |
Oral Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Brisbane Dr, Fountain Inn, SC 29644 Phone: 864-320-7709 | |
Kiyania Brown, NCC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Forked Oak Way, Fountain Inn, SC 29644 Phone: 980-785-4576 |