| The Wellspring Alliance For Families, Inc. | |
|
1904 Royal Ave Monroe LA 71201-5724 | |
| (318) 323-1505 | |
| (318) 323-1361 |
| Full Name | The Wellspring Alliance For Families, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1904 Royal Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Lisa Longenbaugh (SUPERVISOR) |
| Authorized Official Contact | 3183231505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellspring Alliance For Families, Inc. 1904 Royal Ave Monroe LA 71201-5724 Ph: (318) 323-1505 | The Wellspring Alliance For Families, Inc. 1904 Royal Ave Monroe LA 71201-5724 Ph: (318) 323-1505 |
| NPI Number | 1427223064 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427223064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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