| Wellsprings Of Healing Llc | |
|
400 E Simpson St Ste 105 Lafayette CO 80026-2359 | |
| (303) 669-2982 | |
| Not Available |
| Full Name | Wellsprings Of Healing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 E Simpson St Ste 105, Lafayette, Colorado |
| Authorized Official Name and Position | Suzanne Dumond (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3036692982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Of Healing Llc 400 E Simpson St Ste 105 Lafayette CO 80026-2359 Ph: (303) 669-2982 | Wellsprings Of Healing Llc 400 E Simpson St Ste 105 Lafayette CO 80026-2359 Ph: (303) 669-2982 |
| NPI Number | 1023468576 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023468576 | NPI | - | NPPES |
| 53381785 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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