Healthcare Provider Details

I. General information

NPI: 1588407050
Provider Name (Legal Business Name): BRITTNEY WELLS LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTNEY PRINCE WELLS

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 W 380 S
AMERICAN FORK UT
84003-4271
US

IV. Provider business mailing address

1149 W 380 S
AMERICAN FORK UT
84003-4271
US

V. Phone/Fax

Practice location:
  • Phone: 832-562-1079
  • Fax:
Mailing address:
  • Phone: 832-562-1079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14039387-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: