| Wellspring Therapy Services, Llc | |
|
6918 Shallowford Rd Ste 317 Chattanooga TN 37421-1783 | |
| (423) 503-3199 | |
| (423) 855-7976 |
| Full Name | Wellspring Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6918 Shallowford Rd Ste 317, Chattanooga, Tennessee |
| Authorized Official Name and Position | Catherine H Rogers (SOLE MEMBER) |
| Authorized Official Contact | 4238557977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Therapy Services, Llc 6918 Shallowford Rd Ste 317 Chattanooga TN 37421-1783 Ph: (423) 503-3199 | Wellspring Therapy Services, Llc 6918 Shallowford Rd Ste 317 Chattanooga TN 37421-1783 Ph: (423) 503-3199 |
| NPI Number | 1275224867 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 7012370109 |
|---|---|
| Medicare Enrollment ID | O20230822002836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275224867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine H Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700825874 PECOS PAC ID: 0042304529 Enrollment ID: I20101215000717 |
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