| Wellspring Counseling Service | |
|
220 3rd Ave W # A Hendersonville NC 28739-4308 | |
| (828) 692-7255 | |
| Not Available |
| Full Name | Wellspring Counseling Service |
|---|---|
| Speciality | Social Worker |
| Location | 220 3rd Ave W # A, Hendersonville, North Carolina |
| Authorized Official Name and Position | Persis Anne Didier (PRESIDENT, DIRECTOR) |
| Authorized Official Contact | 8286927255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Service Po Box 1778 Hendersonville NC 28793-1778 Ph: (828) 692-7255 | Wellspring Counseling Service 220 3rd Ave W # A Hendersonville NC 28739-4308 Ph: (828) 692-7255 |
| NPI Number | 1912123241 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709855067 |
|---|---|
| Medicare Enrollment ID | O20041002000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912123241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004582 (North Carolina) | Primary |
| Provider Name | Brenda Pace Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306198874 PECOS PAC ID: 5395998918 Enrollment ID: I20130110000302 |
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