NPI Code Details Logo

NPI 1659176675

NPI 1659176675 : WELLS HOUSE INC : FREDERICK, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659176675
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WELLS HOUSE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2025
-----------------------------------------------------
    Last Update Date     |    02/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    425-427 E PATRICK ST 
-----------------------------------------------------
    City                 |    FREDERICK
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21701-5777
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-662-7003
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    124 E BALTIMORE ST 
-----------------------------------------------------
    City                 |    HAGERSTOWN
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21740-6104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-739-7748
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COO
-----------------------------------------------------
    Name                 |     CHRISTINA  TRENTON NEE 
-----------------------------------------------------
    Credential           |    LCSW-C
-----------------------------------------------------
    Telephone            |    301-739-7748
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.