| Wellspring Counseling Services | |
|
115 E Glenwood Ave Smyrna DE 19977-1424 | |
| (302) 373-8904 | |
| Not Available |
| Full Name | Wellspring Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 115 E Glenwood Ave, Smyrna, Delaware |
| Authorized Official Name and Position | Michael N Bryson (OWNER) |
| Authorized Official Contact | 3023738904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Services 623 E Radison Run Clayton DE 19938-3837 Ph: () - | Wellspring Counseling Services 115 E Glenwood Ave Smyrna DE 19977-1424 Ph: (302) 373-8904 |
| NPI Number | 1992215917 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992215917 | NPI | - | NPPES |
| 1588928816 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0000536 (Delaware) | Primary |
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