Healthcare Provider Details

I. General information

NPI: 1437267002
Provider Name (Legal Business Name): JO MARIE WELLS-BROWN LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 MEDICAL DR
AMARILLO TX
79106-4136
US

IV. Provider business mailing address

12 MEDICAL DR
AMARILLO TX
79106-4136
US

V. Phone/Fax

Practice location:
  • Phone: 806-356-0404
  • Fax: 806-356-0590
Mailing address:
  • Phone: 806-356-0404
  • Fax: 806-356-0590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6336
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002023-041235
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: