| Wells Therapy Center, Llc | |
|
711 Fairview St Fountain Inn SC 29644-1541 | |
| (803) 318-5400 | |
| Not Available |
| Full Name | Wells Therapy Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 711 Fairview St, Fountain Inn, South Carolina |
| Authorized Official Name and Position | Dennis Wells (OWNER) |
| Authorized Official Contact | 8033185400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Therapy Center, Llc 711 Fairview St Fountain Inn SC 29644-1541 Ph: () - | Wells Therapy Center, Llc 711 Fairview St Fountain Inn SC 29644-1541 Ph: (803) 318-5400 |
| NPI Number | 1003622622 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 4385172774 |
|---|---|
| Medicare Enrollment ID | O20250113003247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003622622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dennis Dale Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861711665 PECOS PAC ID: 9638607021 Enrollment ID: I20250113003448 |
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