| Wellspring Counseling Llc | |
|
5610 Medical Circle #25 Madison WI 53719-1295 | |
| (608) 274-5871 | |
| (608) 274-5764 |
| Full Name | Wellspring Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5610 Medical Circle #25, Madison, Wisconsin |
| Authorized Official Name and Position | Ryel M Estes (OWNER) |
| Authorized Official Contact | 6082745871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Llc 5610 Medical Circle #25 Madison WI 53719-1295 Ph: (608) 274-5871 | Wellspring Counseling Llc 5610 Medical Circle #25 Madison WI 53719-1295 Ph: (608) 274-5871 |
| NPI Number | 1790774115 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790774115 | NPI | - | NPPES |
| 42198500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1983 (Wisconsin) | Primary |
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