WELLSPRING LIFE CENTER LLC NPI 1518661305

NPI Information

  • NPI: 1518661305
  • Provider Name: WELLSPRING LIFE CENTER, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 20150 LAKE SHORE BLVD
    EUCLID, OH
    ZIP 44123
  • Phone: (216) 714-2151

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NPI Details

WELLSPRING LIFE CENTER, LLC is a clinical social worker in Euclid, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. WELLSPRING LIFE CENTER, LLC NPI is 1518661305. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20150 LAKE SHORE BLVD
EUCLID, OH
ZIP 44123-839
Phone: (216) 714-2151

The provider's authorized official is Tamika Moore .
The authorized official title is Clinical Director and has the following contact phone number (216) 714-2151.

The enumeration date for this NPI number is 3/28/2023 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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