Healthcare Provider Details

I. General information

NPI: 1699864793
Provider Name (Legal Business Name): DEBORA LYNN WELLS MA, LPC, ALPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COURT ST S
RIPLEY WV
25271-1408
US

IV. Provider business mailing address

111 COURT ST S
RIPLEY WV
25271-1408
US

V. Phone/Fax

Practice location:
  • Phone: 304-372-1030
  • Fax: 304-853-5675
Mailing address:
  • Phone: 304-372-1030
  • Fax: 304-853-5675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number927
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: