Healthcare Provider Details

I. General information

NPI: 1831037779
Provider Name (Legal Business Name): MEGAN WELLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7602 KNOBLEY RD
KEYSER WV
26726-6580
US

IV. Provider business mailing address

7602 KNOBLEY RD
KEYSER WV
26726-6580
US

V. Phone/Fax

Practice location:
  • Phone: 304-813-7123
  • Fax:
Mailing address:
  • Phone: 304-813-7123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: