| Wellspring Intervention Llc | |
|
202 Johnson Branch Rd Goldsboro NC 27534-9606 | |
| (984) 305-8004 | |
| Not Available |
| Full Name | Wellspring Intervention Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 202 Johnson Branch Rd, Goldsboro, North Carolina |
| Authorized Official Name and Position | Tuvares Thompson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9843058004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Intervention Llc 202 Johnson Branch Rd Goldsboro NC 27534-9606 Ph: (984) 305-8004 | Wellspring Intervention Llc 202 Johnson Branch Rd Goldsboro NC 27534-9606 Ph: (984) 305-8004 |
| NPI Number | 1891686044 |
|---|---|
| Provider Enumeration Date | 07/14/2025 |
| Last Update Date | 07/14/2025 |
| Certification Date | 07/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891686044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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