Wells, James D

Wells, James D is an sole proprietor health care provider with primary practice located at 122 Elrosa Rd , Mooresville NC 28115-5778. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wells, James D can be contacted via phone (704) 840-7005.

Contact Information

Primary practice address
122 Elrosa Rd Mooresville NC 28115-5778
Phone: (704) 840-7005
Fax: (704) 360-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10150 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 10150 North Carolina

Profile Details

NPI number 1285770818
LBN Legal business name Wells, James D
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Oct 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285770818 NPPES
North Carolina MEDICAID 1285770818

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