Organization
KATI WELLS CBT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATLYNNE WELLS LPC (OWNER)
(479) 335-6482
Entity
Organization
Contact information
Practice address
1116 S WALTON BLVD STE 116, BENTONVILLE, AR 72712-6116
(479) 335-6482
Mailing address
1116 S WALTON BLVD STE 116, BENTONVILLE, AR 72712-6116
(479) 335-6482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
WE DO NOT HAVE THESE.
—
Enumeration date
03/24/2021
Last updated
03/30/2021
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