Provider Demographics
NPI:1770300980
Name:WELLS, LAURA BETH (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BETH
Last Name:WELLS
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BETH
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:14107 VENETO DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-2202
Mailing Address - Country:US
Mailing Address - Phone:832-310-3052
Mailing Address - Fax:
Practice Address - Street 1:2939 W WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-5015
Practice Address - Country:US
Practice Address - Phone:210-212-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89761101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor