| Well Spring Behavioral Health, Llc | |
|
171 Woodport Rd 2nd Floor Sparta NJ 07871-2633 | |
| (201) 317-3768 | |
| Not Available |
| Full Name | Well Spring Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 171 Woodport Rd, Sparta, New Jersey |
| Authorized Official Name and Position | Christine Welzer (SOLE PROPRIETOR) |
| Authorized Official Contact | 2013173768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Spring Behavioral Health, Llc 1 Pine Ter Highland Lakes NJ 07422-1119 Ph: () - | Well Spring Behavioral Health, Llc 171 Woodport Rd 2nd Floor Sparta NJ 07871-2633 Ph: (201) 317-3768 |
| NPI Number | 1083933121 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Medicare PECOS PAC ID | 4587880513 |
|---|---|
| Medicare Enrollment ID | O20140728000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083933121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SCO5179400 (New Jersey) | Primary |
| Provider Name | Christine Welzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790826766 PECOS PAC ID: 5799902078 Enrollment ID: I20140811000345 |
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