| Wellspring Counseling Services, Llc | |
|
7941 Broad River Rd Sandhills Pediatrics Irmo SC 29063 | |
| (803) 606-4441 | |
| Not Available |
| Full Name | Wellspring Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7941 Broad River Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Michael David Deason (OWNER) |
| Authorized Official Contact | 8036064441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling Services, Llc 204 Myles Ct Lexington SC 29072-7867 Ph: (803) 606-4441 | Wellspring Counseling Services, Llc 7941 Broad River Rd Sandhills Pediatrics Irmo SC 29063 Ph: (803) 606-4441 |
| NPI Number | 1306052451 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306052451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3819 (South Carolina) | Primary |
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