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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