Organization
AMY H. WELLS, LCSW PC
Active
Organization
AMY H. WELLS, LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY H. WELLS LCSW (CEO)
(229) 630-1941
Entity
Organization
Contact information
Practice address
2310 N PATTERSON ST BLDG H, VALDOSTA, GA 31602-2500
(229) 333-0300
(229) 333-0306
Mailing address
2310 N PATTERSON ST BLDG H, VALDOSTA, GA 31602-2500
(229) 333-0300
(229) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11830268
CAQH
GA
Enumeration date
07/08/2012
Last updated
04/11/2025
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