| Wellspring, Llc | |
|
300 Fairlane Dr Lafayette TN 37083-1709 | |
| (615) 688-9504 | |
| (615) 688-9503 |
| Full Name | Wellspring, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 300 Fairlane Dr, Lafayette, Tennessee |
| Authorized Official Name and Position | Kimberly Hale (OWNER) |
| Authorized Official Contact | 6156889504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring, Llc 300 Fairlane Dr Lafayette TN 37083-1709 Ph: (615) 688-9504 | Wellspring, Llc 300 Fairlane Dr Lafayette TN 37083-1709 Ph: (615) 688-9504 |
| NPI Number | 1881178176 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881178176 | NPI | - | NPPES |
The Jenkins Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Fairlane Dr, Lafayette, TN 37083 Phone: 615-688-9504 Fax: 615-688-9503 |