| Wellspring Counseling Center | |
|
700 Old Roswell Lakes Parkway Suite 300 Roswell GA 30076 | |
| (770) 587-4736 | |
| (678) 802-2116 |
| Full Name | Wellspring Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 700 Old Roswell Lakes Parkway, Roswell, Georgia |
| Authorized Official Name and Position | Thomas Query (COUNSELOR) |
| Authorized Official Contact | 7705874736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Center 700 Old Roswell Lakes Parkway Suite 300 Roswell GA 30076 Ph: (770) 587-4736 | Wellspring Counseling Center 700 Old Roswell Lakes Parkway Suite 300 Roswell GA 30076 Ph: (770) 587-4736 |
| NPI Number | 1649403015 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649403015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC001531 (Georgia) | Primary |
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