| Wellsprings Counseling Center, Llc | |
|
22-08 State Rt 208 Suite 16 Fair Lawn NJ 07410-2609 | |
| (201) 956-6363 | |
| (201) 956-6026 |
| Full Name | Wellsprings Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22-08 State Rt 208, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Lisa Pro-menner (PRESIDENT) |
| Authorized Official Contact | 2019566363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Counseling Center, Llc 22-08 State Rt 208 Suite 16 Fair Lawn NJ 07410-2609 Ph: (201) 956-6363 | Wellsprings Counseling Center, Llc 22-08 State Rt 208 Suite 16 Fair Lawn NJ 07410-2609 Ph: (201) 956-6363 |
| NPI Number | 1285844050 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 7618314113 |
|---|---|
| Medicare Enrollment ID | O20240320000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285844050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05191700 (New Jersey) | Primary |
| Provider Name | Lisa M Steiner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659595601 PECOS PAC ID: 8527405026 Enrollment ID: I20240320000355 |
| Provider Name | Genesis Urena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699327908 PECOS PAC ID: 8022450832 Enrollment ID: I20240524001613 |
| Provider Name | Ann Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720410228 PECOS PAC ID: 9830531425 Enrollment ID: I20240529000014 |
| Provider Name | Susan A Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902303035 PECOS PAC ID: 8123561438 Enrollment ID: I20240614002236 |
Natasha G Baron Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, 2a, Fair Lawn, NJ 07410 Phone: 201-334-2537 | |
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Mhs Mental Healthcare Associates Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14-25 Plaza Rd Ste S22, Fair Lawn, NJ 07410 Phone: 201-873-8583 | |
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