MEDICARE: WELLS WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336742287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	301 SADDLE DR STE A
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-422-1114
Fax Number	:	833-992-2110

Provider Business Practice Location Address
First Line	:	301 SADDLE DR STE A
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-422-1114
Fax Number	:	833-992-2110

Authorized Official
Title or Position	:	OWNER
Name	:	TARA WELLS
Credential	:	FNP-C, PMHNP-C
Telephone Number	:	406-422-1114

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	01/27/2026

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