WELLSPRING NPI 1912262619

NPI Information

NPI: 1912262619
Provider Name: WELLSPRING
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
15 E PLEASANT ST
SPRINGFIELD, OH
ZIP 45506
Phone: (937) 325-5564
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WELLSPRING is an addiction (substance use disorder) counselor in Springfield, OH. WELLSPRING NPI is 1912262619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 E PLEASANT ST
SPRINGFIELD, OH
ZIP 45506-201
Phone: (937) 325-5564
Fax: (937) 325-8727

The provider's authorized official is Naomi Walters .
The authorized official title is Office Manager/biller and has the following contact phone number (937) 325-5564.

The enumeration date for this NPI number is 7/9/2012 and was last updated on 7/9/2012.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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	9275051	MEDICARE UPIN	OHIO
2	286442	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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