WELLSPRING NPI 1558765016

NPI Information

NPI: 1558765016
Provider Name: WELLSPRING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5618 NW 43RD ST
GAINESVILLE, FL
ZIP 32653
Phone: (352) 377-8770
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WELLSPRING is a mental health counselor in Gainesville, FL. WELLSPRING NPI is 1558765016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5618 NW 43RD ST
GAINESVILLE, FL
ZIP 32653-406
Phone: (352) 377-8770
Fax: (352) 371-3623

The provider's authorized official is George Randall Williams .
The authorized official title is Owner and has the following contact phone number (352) 377-8770.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 10/13/2014.

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
1	101YM0800X	Counselor	Mental Health	ME0037298	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59 3213731	OTHER	FLORIDA	PSYCHIATRY

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: 11/14/2023

NPI Synchronization or Removal

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