| Wellspring Counseling, Inc. | |
|
14401 Old Cutler Rd Palmetto Bay FL 33158-1722 | |
| (786) 573-7009 | |
| Not Available |
| Full Name | Wellspring Counseling, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14401 Old Cutler Rd, Palmetto Bay, Florida |
| Authorized Official Name and Position | Tova J. Kreps (PRESIDENT) |
| Authorized Official Contact | 3057225380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling, Inc. 14401 Old Cutler Rd Palmetto Bay FL 33158-1722 Ph: (305) 722-5380 | Wellspring Counseling, Inc. 14401 Old Cutler Rd Palmetto Bay FL 33158-1722 Ph: (786) 573-7009 |
| NPI Number | 1558686543 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 7315162484 |
|---|---|
| Medicare Enrollment ID | O20140703000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558686543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia Salow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487022497 PECOS PAC ID: 6709300759 Enrollment ID: I20250411000117 |
| Provider Name | Juan Alejandro Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295315158 PECOS PAC ID: 0345766879 Enrollment ID: I20250429000072 |
| Provider Name | Mariangeles Fernandez Duo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801513700 PECOS PAC ID: 0042729303 Enrollment ID: I20250529004140 |
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