Individual
MRS. THANDI KENYETTA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LPC
Contact information
Practice address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1302
(205) 919-3974
(877) 308-8259
Mailing address
2100A SOUTHBRIDGE PKWY STE 235, BIRMINGHAM, AL 35209-1375
(205) 919-3974
(877) 308-8259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3472
AL
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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