# WELLS MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679907075
- **Authorized official:** MR. FORREST ALDEN KAIAO WELLS MSCP, NCC, LMHC (CEO)
- **Authorized official phone:** (808) 222-3588

## Contact information

- **Practice address:** 40 AULIKE ST, SUIT 411, KAILUA, HI 96734-2758
- **Practice address phone:** (808) 222-3588
- **Practice address fax:** (808) 262-2747
- **Mailing address:** 40 AULIKE ST, SUITE 411, KAILUA, HI 96734-2758
- **Mailing address phone:** (808) 222-3588
- **Mailing address fax:** (808) 262-2747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MHC - 263 | HI | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013
