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Organization
WELLS
Active
Organization
WELLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PERRY (CREDENTIALING MANAGER)
(404) 821-9655
Entity
Organization
Contact information
Practice address
733 SEYMOUR RD, BEAR, DE 19701-1106
(267) 338-7207
Mailing address
733 SEYMOUR RD, BEAR, DE 19701-1106
(267) 338-7207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
10/03/2026
Last updated
10/03/2026
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