MEDICARE: WELLS & ASSOCIATES

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	251S00000X	Community/Behavioral Health Agency

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

General Provider Information

NPI Number	:	1790342673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLS & ASSOCIATES

Provider Business Mailing Address
First Line	:	809 HEBRON RD # 1013
Second Line	:
City	:	HEATH
State	:	OH
Zip	:	43056-1357
Country	:	US
Telephone Number	:	440-879-8585
Fax Number	:

Provider Business Practice Location Address
First Line	:	17407 LORAIN AVE STE 201
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-4022
Country	:	US
Telephone Number	:	440-879-8585
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	AMY L WELLS
Credential	:	LISW-S
Telephone Number	:	440-879-8585

Provider Enumeration Date	:	05/25/2019
Last Update Date	:	01/11/2024

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Directions to “WELLS & ASSOCIATES ” Practice Location

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