Provider Demographics
NPI:1740297274
Name:WELLS, JOHN A (LPC, LMFT, PA)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:WELLS
Suffix:
Gender:M
Credentials:LPC, LMFT, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14811 ST. MARY'S LANE
Mailing Address - Street 2:STE 288
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:281-829-0114
Mailing Address - Fax:281-599-9540
Practice Address - Street 1:14811 ST. MARY'S LANE
Practice Address - Street 2:STE 288
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:281-829-0114
Practice Address - Fax:281-599-9540
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMFT 4931101YM0800X
TXLPC 16878101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health