Healthcare Provider Details

I. General information

NPI: 1427973353
Provider Name (Legal Business Name): ALIA WELLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 PACES FERRY RD SE STE 500
ATLANTA GA
30339-4053
US

IV. Provider business mailing address

3972 HILLARY GLN
ELLENWOOD GA
30294-4220
US

V. Phone/Fax

Practice location:
  • Phone: 404-991-2638
  • Fax:
Mailing address:
  • Phone: 404-668-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: