Cultivated Wellspring, Pllc | |
2910 Briarcliffe Rd Winston Salem NC 27106-3176 | |
(336) 265-7297 | |
(336) 773-0332 |
Full Name | Cultivated Wellspring, Pllc |
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Speciality | Community/behavioral Health |
Location | 2910 Briarcliffe Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Breanna Sparrow (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 3362657297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cultivated Wellspring, Pllc 2910 Briarcliffe Rd Winston Salem NC 27106-3176 Ph: (336) 265-7297 | Cultivated Wellspring, Pllc 2910 Briarcliffe Rd Winston Salem NC 27106-3176 Ph: (336) 265-7297 |
NPI Number | 1437875531 |
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Provider Enumeration Date | 10/19/2022 |
Last Update Date | 10/20/2022 |
Certification Date | 10/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437875531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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