| Wellspring Therapy Pllc | |
|
42815 Garfield Rd 203 Clinton Township MI 48038-1143 | |
| (810) 643-3987 | |
| Not Available |
| Full Name | Wellspring Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42815 Garfield Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | John Burke Eitzen (OWNER) |
| Authorized Official Contact | 8106433987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Therapy Pllc 42815 Garfield Rd 203 Clinton Township MI 48038-1143 Ph: (810) 643-3987 | Wellspring Therapy Pllc 42815 Garfield Rd 203 Clinton Township MI 48038-1143 Ph: (810) 643-3987 |
| NPI Number | 1407208937 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 09/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407208937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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