| Wellspring, Llc | |
|
901 S Harding Dr Apt B Goldsboro NC 27534-7424 | |
| (919) 591-4193 | |
| Not Available |
| Full Name | Wellspring, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 901 S Harding Dr Apt B, Goldsboro, North Carolina |
| Authorized Official Name and Position | Edna Earle Williams (CEO) |
| Authorized Official Contact | 9195914193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring, Llc 901 S Harding Dr Apt B Goldsboro NC 27534-7424 Ph: (919) 591-4193 | Wellspring, Llc 901 S Harding Dr Apt B Goldsboro NC 27534-7424 Ph: (919) 591-4193 |
| NPI Number | 1194421651 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194421651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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