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General NPI Number Information
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NPI Number | 1366336448
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Entity Type | Organization
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Legal Business Name | WELLS OF THERAPY, PLLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 28873 LITTLE TEXAS RD
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City | BRANCHVILLE
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State | VA
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Zip | 23828-2013
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Country | US
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Telephone | 757-751-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 86 CLARA CT
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City | SUFFOLK
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State | VA
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Zip | 23434-6546
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATOYA WELLS
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Credential | LPC
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Telephone | 862-250-2152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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