Healthcare Provider Details

I. General information

NPI: 1629982814
Provider Name (Legal Business Name): ABIGAIL MARIE WELLS LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 DIAGNOSTIC DR STE B
FRANKFORT KY
40601-6559
US

IV. Provider business mailing address

115 WHISPERING PINES DR
FRANKFORT KY
40601-7039
US

V. Phone/Fax

Practice location:
  • Phone: 859-338-0466
  • Fax:
Mailing address:
  • Phone: 502-370-7717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number311826
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: