| Wellsprings Mental Health Solutions, Pllc | |
|
823 Elm St Ste 200 Fayetteville NC 28303-4164 | |
| (910) 580-8195 | |
| Not Available |
| Full Name | Wellsprings Mental Health Solutions, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 823 Elm St Ste 200, Fayetteville, North Carolina |
| Authorized Official Name and Position | Mariah Hazen (OWNER/PROVIDER) |
| Authorized Official Contact | 9108854849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Mental Health Solutions, Pllc 2037 Lakeridge Dr Fayetteville NC 28304-0507 Ph: (910) 885-4849 | Wellsprings Mental Health Solutions, Pllc 823 Elm St Ste 200 Fayetteville NC 28303-4164 Ph: (910) 580-8195 |
| NPI Number | 1407517840 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2961922018 |
|---|---|
| Medicare Enrollment ID | O20250220000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407517840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mariah Hazen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429052 PECOS PAC ID: 3870013923 Enrollment ID: I20250220000818 |
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