Wells, Willie Johnathan
Wells, Willie Johnathan is an sole proprietor health care provider with primary practice located at 6857 Cobblestone Blvd , Southaven MS 38672-9312. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wells, Willie Johnathan can be contacted via phone (662) 253-8040.Contact Information
Primary practice address
6857 Cobblestone Blvd
Southaven MS 38672-9312
Phone: (662) 253-8040
Fax: (662) 470-5984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1976 | Mississippi |
Profile Details
| NPI number | 1952772410 |
|---|---|
| LBN Legal business name | Wells, Willie Johnathan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2015 |
| Last updated | Jun 3rd, 2019 - about 7 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 | 1952772410 | NPPES |
| Tennessee | MEDICAID | Q023618 | |
| Tennessee | MEDICAID | 04539260 |
Popular Providers
-
Meteer, Cathy G
5779 Getwell Rd Building D, Suite 3, Southaven MS 38672-6347 -
Eskridge, Talunja
970 Swinnea Rdg Ste 1 , Southaven MS 38671-6037 -
Reed, Jessica Rena
6858 Swinnea Rd Bldg 4 , Southaven MS 38671-9493 -
Holmes, Erica P
7145 Swinnea Rd Ste 2 , Southaven MS 38671-6380 -
Erickson, Jeremy
232 Goodman Rd W Ste 305 , Southaven MS 38671-8004 -
Dutoit, Jaimie Lee
6858 Swinnea Rd Bldg 7 , Southaven MS 38671-9493 -
Meier, Hilary
6858 Swinnea Rd 4 Rutland Pl., Southaven MS 38671-9493 -
Walton, Darby
6858 Swinnea Rd Bldg 1B , Southaven MS 38671-9493