KELLY WELLS (NPI# 1770123812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770123812 |
| Entity Type | Individual |
| Full Name | KELLY WELLS |
| Practice Address |
906 12th St Nw Canton OH 44703-1902 |
| Practice Telephone | 2348043008 |
| Practice Fax Number | 2348043024 |
| Mailing Telephone | 2348043008 |
| Mailing Fax Number | 2348043024 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801182696 | Kelly S. Wells | Dentist | 6211 4th St Nw, Suite 13, Albuquerque, NM 87107-5761 | 2011-06-21 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1962564211 | Kelly J Wells | Chiropractor | 54b Rolling Oaks Rd, Sugar Grove, IL 60554-9337 | 2006-12-14 |
| 1669082376 | Kelly V Wells | Physical Therapist | 2703 Legends Pkwy, Prattville, AL 36066-7755 | 2020-08-06 |
| 1407494693 | Kelly Wells | Nurse Practitioner | 220 N Main St, Greenville, SC 29601-2161 | 2019-12-18 |
| 1538683743 | Kelly Colleen Wells | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2017-07-29 |
| 1710435953 | Kelly Wells | Social Worker | 7474 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3523 | 2016-09-16 |
| 1336591197 | Kelly Irene Wells | Nurse Practitioner | 870 S Front St, Suite 200, Central Point, OR 97502-2779 | 2016-07-05 |
| 1992108021 | Kelly Wells | Contractor | 211 2nd St, Moscow, OH 45153-0066 | 2014-10-03 |
| 1841451630 | Kelly Forster Wells | Counselor | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2008-06-24 |
| Street Address |
906 12TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44703-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088870 | Phil'lisa S Hall | Counselor | 906 12th St Nw, Canton, OH 44703-1902 | 2020-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870591 | Adriane Everett | Counselor | 906 12 St Nw, Canton, OH 44703 | 2020-01-14 |
| 1154792497 | Jasmine Brown | Home Health Aide | 926 Mcgregor Ave N W, Canton, OH 44703 | 2015-10-13 |
| 1538563366 | Lauren Miller | Psychologist | 1503 Woodland Ave Nw, Canton, OH 44703 | 2014-10-22 |
| 1891863478 | Judson Graham Sprandel II | Chiropractor | 1412 Cleveland Ave Nw, Canton, OH 44703 | 2006-12-01 |
| 1376616276 | Charles S Yarnevich | Podiatrist | 1548 Fulton Rd Nw, Canton, OH 44703 | 2006-11-16 |
| 1538760624 | Medtime Pharmacy LLC | Pharmacy | 400 12th St Nw, Address Line 2, Canton, OH 44703 | 2020-11-04 |
| 1598250243 | Charles W Schott | Case Manager/Care Coordinator | 832 Mckinley Ave Nw, Canton, OH 44703 | 2018-06-26 |
| 1366831471 | Rebecca L Reigle | Registered Nurse | 832 Mckinley Ave Nw, Canton, OH 44703 | 2015-01-13 |
| 1629247960 | Sprandel Chiropractic Clinic Inc | Chiropractor | 1412 Cleveland Ave Nw, Canton, OH 44703 | 2008-02-20 |
| 1063019024 | Pamela Kay Pirolozzi | Home Health Aide | 1520 16th St Nw, Canton, OH 44703-1040 | 2020-10-02 |
| Find all providers in zip 44703 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904890 | Aurora Health Services LLC | Counselor | 200 6th Street Nw, Canton, OH 44702-1005 | 2020-08-28 |
| 1942819032 | Restoration Community Services LLC | Counselor | 831 Market Ave N, Canton, OH 44702-1175 | 2020-07-24 |
| 1619590882 | A.v.o Behavioral Health LLC | Counselor | 3745 Whipple Ave Nw Ste A, Canton, OH 44718-4805 | 2020-05-22 |
| 1356976930 | Nadine Blase Psareas | Counselor | 1558 Marietta Hwy Ste 200, Canton, GA 30114-3615 | 2020-03-04 |
| 1245870591 | Adriane Everett | Counselor | 906 12 St Nw, Canton, OH 44703 | 2020-01-14 |
| 1528601663 | Shelly R Bowling | Counselor | 1522 Baum St Se, Canton, OH 44707-1107 | 2019-10-22 |
| 1962043141 | Erin Ann Williams | Counselor | 1023 S Trade Days Blvd Unit 102, Canton, TX 75103-2434 | 2019-09-30 |
| 1346898079 | Shericka Meeks | Counselor | 304 15th St Ne Ste B, Canton, OH 44714-2523 | 2019-08-27 |
| 1295293876 | Diamond Lawrencethia Gay | Counselor | 4661 Belpar St Nw, Canton, OH 44718-3602 | 2019-03-04 |
| 1720562598 | Joni Coker | Counselor | 29957 State Highway 64 Ste 108, Canton, TX 75103-3413 | 2018-09-18 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.