Wells, Mark Steven
Wells, Mark Steven is an sole proprietor health care provider with primary practice located at 43902 Woodward Ave Ste 230 , Bloomfield Hills MI 48302-5022. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wells, Mark Steven can be contacted via phone (248) 404-7151.Contact Information
Primary practice address
43902 Woodward Ave Ste 230
Bloomfield Hills MI 48302-5022
Phone: (248) 404-7151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 27452 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2467 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-02940 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P007900 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 150.012251 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801097967 | Michigan |
Profile Details
| NPI number | 1154648509 |
|---|---|
| LBN Legal business name | Wells, Mark Steven |
| Credentials | LMSW, CAADC, CCSOTS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2010 |
| Last updated | Feb 13th, 2023 - about 3 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 | 1154648509 | NPPES |
| Michigan | MEDICAID | 1154648509 |
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