| Wellspring Connection Llc | |
|
10603 Gamewood Dr South Lyon MI 48178-9801 | |
| (248) 837-9509 | |
| Not Available |
| Full Name | Wellspring Connection Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10603 Gamewood Dr, South Lyon, Michigan |
| Authorized Official Name and Position | Aaron Corte (OWNER) |
| Authorized Official Contact | 2488379509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Connection Llc 10603 Gamewood Dr South Lyon MI 48178-9801 Ph: () - | Wellspring Connection Llc 10603 Gamewood Dr South Lyon MI 48178-9801 Ph: (248) 837-9509 |
| NPI Number | 1760067524 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760067524 | NPI | - | NPPES |
| 00000000 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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