| Wellspring Psychology Group Llc | |
|
1340 Celebration Blvd Unit A Florence SC 29501-5585 | |
| (843) 536-1180 | |
| (843) 536-1116 |
| Full Name | Wellspring Psychology Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1340 Celebration Blvd, Florence, South Carolina |
| Authorized Official Name and Position | Jason Dean Anderson (PARTNER) |
| Authorized Official Contact | 8127977069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Psychology Group Llc 1340 Celebration Blvd Unit A Florence SC 29501-5585 Ph: (843) 536-1180 | Wellspring Psychology Group Llc 1340 Celebration Blvd Unit A Florence SC 29501-5585 Ph: (843) 536-1180 |
| NPI Number | 1255756565 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Medicare PECOS PAC ID | 9537382692 |
|---|---|
| Medicare Enrollment ID | O20140519002263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255756565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1073 (South Carolina) | Primary |
| Provider Name | Jason Dean Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942481882 PECOS PAC ID: 6002905262 Enrollment ID: I20071211000433 |
| Provider Name | Edward L Scearce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467678672 PECOS PAC ID: 5991884074 Enrollment ID: I20100223000530 |
| Provider Name | Leah M. Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275023483 PECOS PAC ID: 5496096000 Enrollment ID: I20190409001282 |
| Provider Name | Rebecca Winn Oeffinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184978801 PECOS PAC ID: 4385071133 Enrollment ID: I20200217004913 |
| Provider Name | Anna Caroline Chinnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245752948 PECOS PAC ID: 4082025457 Enrollment ID: I20201117000623 |
| Provider Name | Mark Allen Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033689682 PECOS PAC ID: 4385016856 Enrollment ID: I20230209001055 |
| Provider Name | Keli Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881298602 PECOS PAC ID: 0244689388 Enrollment ID: I20231214000432 |
| Provider Name | Camille Gonzalez-acevedo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447751698 PECOS PAC ID: 4082063011 Enrollment ID: I20231215000341 |
| Provider Name | Prezillic Daniels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467715136 PECOS PAC ID: 6305295353 Enrollment ID: I20231215001388 |
| Provider Name | Vanessa Lobo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912370917 PECOS PAC ID: 7911356837 Enrollment ID: I20231218000485 |
| Provider Name | Veronica Wittscheck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023560570 PECOS PAC ID: 4789033614 Enrollment ID: I20231218001141 |
| Provider Name | Natalie Gamble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851726186 PECOS PAC ID: 9739538679 Enrollment ID: I20231218001353 |
| Provider Name | Mary Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114266707 PECOS PAC ID: 5496104341 Enrollment ID: I20231218001652 |
| Provider Name | Suzanne Cain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457531683 PECOS PAC ID: 3577904432 Enrollment ID: I20240509003829 |
Janet D. Woolery,m.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmetto St, Florence, SC 29501 Phone: 843-667-6226 Fax: 843-667-6224 | |
Aba Depot Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Cheves St Ste 280, Florence, SC 29506 Phone: 843-799-0076 Fax: 800-557-0208 | |
Assure Behavioral Health Services Of South Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Mcleod Aly, Florence, SC 29501 Phone: 252-933-7203 | |
Nu-start & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601a W Lucas St, Florence, SC 29501 Phone: 843-453-6071 Fax: 843-665-8809 | |
Florence Schools District One Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E Old Marion Hwy, Florence, SC 29506 Phone: 843-678-4193 Fax: 843-664-8180 | |
Pee Dee Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4089 | |
Amethyst Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 West Even Street, Florence, SC 29501 Phone: 980-316-5129 |