| Wellspring Counseling Services, Llc | |
|
25 W Alma Dr Melbourne FL 32935-6701 | |
| (321) 795-6062 | |
| Not Available |
| Full Name | Wellspring Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25 W Alma Dr, Melbourne, Florida |
| Authorized Official Name and Position | Crystal Turman (OWNER) |
| Authorized Official Contact | 3217956062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Services, Llc 25 W Alma Dr Melbourne FL 32935-6701 Ph: (321) 795-6062 | Wellspring Counseling Services, Llc 25 W Alma Dr Melbourne FL 32935-6701 Ph: (321) 795-6062 |
| NPI Number | 1619385382 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 1456570555 |
|---|---|
| Medicare Enrollment ID | O20140923001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619385382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10881 (Florida) | Primary |
| Provider Name | Crystal A Turman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700149762 PECOS PAC ID: 0244459246 Enrollment ID: I20140923001895 |
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