| Wellspring Inc | |
|
225 W Breckinridge St Louisville KY 40203-2219 | |
| (502) 637-4361 | |
| (502) 637-4490 |
| Full Name | Wellspring Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 225 W Breckinridge St, Louisville, Kentucky |
| Authorized Official Name and Position | Katharine R. Dobbins (CEO) |
| Authorized Official Contact | 5026374361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Inc Po Box 1927 Louisville KY 40201-1927 Ph: (502) 637-4361 | Wellspring Inc 225 W Breckinridge St Louisville KY 40203-2219 Ph: (502) 637-4361 |
| NPI Number | 1649487158 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 05/04/2016 |
| Medicare PECOS PAC ID | 1153406707 |
|---|---|
| Medicare Enrollment ID | O20080307000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649487158 | NPI | - | NPPES |
| Provider Name | Katharine R Dobbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194935460 PECOS PAC ID: 9133204787 Enrollment ID: I20080310000172 |
| Provider Name | Thomas P Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053522037 PECOS PAC ID: 1254416399 Enrollment ID: I20080313000022 |
| Provider Name | Beth Schweichler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396956389 PECOS PAC ID: 8224275904 Enrollment ID: I20130516000700 |
| Provider Name | David Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427169168 PECOS PAC ID: 5395988398 Enrollment ID: I20130823000233 |
| Provider Name | Christen Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891193215 PECOS PAC ID: 0941524508 Enrollment ID: I20150130001407 |
| Provider Name | Ngoc Uyen Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487063137 PECOS PAC ID: 7810267531 Enrollment ID: I20170727002819 |
| Provider Name | Amanda J Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993176 PECOS PAC ID: 1759652928 Enrollment ID: I20170807000890 |
| Provider Name | Zoe Prowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538550785 PECOS PAC ID: 9133493893 Enrollment ID: I20170919000833 |
| Provider Name | Barbara Motley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780134536 PECOS PAC ID: 4183958184 Enrollment ID: I20190625002906 |
| Provider Name | Jennifer Hofelich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689231375 PECOS PAC ID: 5496080988 Enrollment ID: I20190703002144 |
| Provider Name | Elise Monique Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760022487 PECOS PAC ID: 0345676128 Enrollment ID: I20200214002302 |
| Provider Name | Sara Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104343672 PECOS PAC ID: 6800209628 Enrollment ID: I20210114002660 |
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