Wells, Ken L
Wells, Ken L is an sole proprietor health care provider with primary practice located at 4445 Coporation Lane Suite 200, Virginia Beach VA 23462. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wells, Ken L can be contacted via phone (757) 213-6800.Contact Information
Primary practice address
4445 Coporation Lane Suite 200
Virginia Beach VA 23462
Phone: (757) 213-6800
Fax: (757) 240-5936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003278 | Virginia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701003278 | Virginia |
Profile Details
| NPI number | 1851364244 |
|---|---|
| LBN Legal business name | Wells, Ken L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Apr 14th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851364244 | NPPES |
| Other | 385289 | BCBS | |
| Other | 385289 | BCBS | |
| Other | 089635 | BCBS | |
| Other | 2193340 | BCBS | |
| Other | 201351 | BCBS | |
| Other | 2123895 | BCBS | |
| Other | 327272 | BCBS | |
| Other | 385289 | BCBS | |
| MEDICAID | 005413281 | BCBS | |
| Other | 488552 | BCBS |
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