| Wellspring Mental Health Llc | |
|
204 W Main St Unit E Hortonville WI 54944-8556 | |
| (920) 393-8355 | |
| (920) 580-0150 |
| Full Name | Wellspring Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 204 W Main St Unit E, Hortonville, Wisconsin |
| Authorized Official Name and Position | Gretchen Dominowski (OWNER) |
| Authorized Official Contact | 9203938355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Mental Health Llc Po Box 165 Hortonville WI 54944-0165 Ph: (920) 393-8355 | Wellspring Mental Health Llc 204 W Main St Unit E Hortonville WI 54944-8556 Ph: (920) 393-8355 |
| NPI Number | 1417726282 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417726282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |