Wellspring Family & Community Institute, Llc | |
440 Benmar Dr Ste 2255 Houston TX 77060-3169 | |
(832) 881-1264 | |
(888) 467-1878 |
Full Name | Wellspring Family & Community Institute, Llc |
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Speciality | Counselor |
Location | 440 Benmar Dr Ste 2255, Houston, Texas |
Authorized Official Name and Position | David L. Jones (MEMBER) |
Authorized Official Contact | 8328811264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellspring Family & Community Institute, Llc 440 Benmar Dr Ste 2255 Houston TX 77060-3169 Ph: (832) 881-1264 | Wellspring Family & Community Institute, Llc 440 Benmar Dr Ste 2255 Houston TX 77060-3169 Ph: (832) 881-1264 |
NPI Number | 1902243256 |
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Provider Enumeration Date | 05/28/2013 |
Last Update Date | 04/17/2025 |
Certification Date | 04/17/2025 |
Medicare PECOS PAC ID | 5991948895 |
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Medicare Enrollment ID | O20160617001037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902243256 | NPI | - | NPPES |
Provider Name | Eboni T Butler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972733723 PECOS PAC ID: 7618148479 Enrollment ID: I20110927000825 |
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