Organization
PSYCHIATRIC ASSOCIATES OF SPARTANBURG, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W WELLS MD (OWNER)
(864) 585-2214
Entity
Organization
Contact information
Practice address
943 N CHURCH ST, SPARTANBURG, SC 29303-2712
(864) 585-2214
(864) 585-5608
Mailing address
943 N CHURCH ST, SPARTANBURG, SC 29303-2712
(864) 585-2214
(864) 585-5608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2064
SC
106H00000X
Marriage & Family Therapist
1304
SC
2084P0800X
Psychiatry Physician
Primary
06871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068713
—
SC
Enumeration date
03/01/2007
Last updated
09/11/2025
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