Provider Demographics
NPI:1063911964
Name:WELLS, BRITTANIE (BS)
Entity type:Individual
Prefix:
First Name:BRITTANIE
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:BRITTANIE
Other - Middle Name:
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5800 E SKELLY DR STE 1101
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6448
Mailing Address - Country:US
Mailing Address - Phone:918-779-4556
Mailing Address - Fax:
Practice Address - Street 1:5800 E SKELLY DR STE 1101
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6448
Practice Address - Country:US
Practice Address - Phone:918-779-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health