MR. MARK STEPHEN WELLS LPC-MHSP
NPI 1063567550
Counselor - Professional in Chattanooga, TN
- Individual
- Male
- Counselor
- Professional
About MARK WELLS
This page provides the complete NPI Profile along with additional information for Mark Wells, a provider established in Chattanooga, Tennessee with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1063567550 assigned on January 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 4239 (TN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1063567550 Verify this NPI
- Provider Name
- MR. MARK STEPHEN WELLS LPC-MHSP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2464 WATERHAVEN DR CHATTANOOGA, TN 37406
- Location Phone
- (720) 299-7854
- Mailing Address
- 2464 WATERHAVEN DR CHATTANOOGA, TN 37406
- Mailing Phone
- (720) 299-7854
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-24-2007
- Last Update Date
- 09-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4239
- License State
- TN
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063567550, enumerated as an "individual" on January 24, 2007.
The provider is located at 2464 WATERHAVEN DR CHATTANOOGA, TN 37406 and the phone number is (720) 299-7854.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
