| Wellspring Counseling Center Inc | |
|
18245 Paulson Dr Suite 111 Pt Charlotte FL 33954-1019 | |
| (941) 916-0522 | |
| (941) 206-2201 |
| Full Name | Wellspring Counseling Center Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18245 Paulson Dr, Pt Charlotte, Florida |
| Authorized Official Name and Position | Linda Marie Weser (PRESIDENT) |
| Authorized Official Contact | 9419160522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Center Inc 3284 Highlands Rd Punta Gorda FL 33983-3549 Ph: (941) 916-0522 | Wellspring Counseling Center Inc 18245 Paulson Dr Suite 111 Pt Charlotte FL 33954-1019 Ph: (941) 916-0522 |
| NPI Number | 1821033390 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821033390 | NPI | - | NPPES |
| 238461 | Other | FL | COM PSYCH PROVIDER ID |
| 87726 | Other | FL | UNITED BEH. HEALTH ID |
| Z8351 | Other | FL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0004869 (Florida) | Primary |
Safe Spaces Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 885 Fairfax Ter Nw, Pt Charlotte, FL 33948 Phone: 786-521-1599 |