Wells, Reginald Lamar
Wells, Reginald Lamar is an sole proprietor health care provider with primary practice located at 148 Glenwood Ave Se , Atlanta GA 30312-2900. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wells, Reginald Lamar can be contacted via phone (404) 907-3936.Contact Information
Primary practice address
148 Glenwood Ave Se
Atlanta GA 30312-2900
Phone: (404) 907-3936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Georgia | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005943 | Georgia |
Profile Details
| NPI number | 1235535253 |
|---|---|
| LBN Legal business name | Wells, Reginald Lamar |
| Credentials | LPC, CPCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2014 |
| Last updated | Aug 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235535253 | NPPES |
| Georgia | MEDICAID | 003189469A |
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