Provider Demographics
NPI:1972391209
Name:WELLS, JAYLA (MS, ALC)
Entity type:Individual
Prefix:
First Name:JAYLA
Middle Name:
Last Name:WELLS
Suffix:
Gender:
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 DAUPHIN ST STE 319
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-3271
Mailing Address - Country:US
Mailing Address - Phone:251-348-0069
Mailing Address - Fax:
Practice Address - Street 1:169 DAUPHIN ST STE 319
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-3271
Practice Address - Country:US
Practice Address - Phone:251-348-0069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health