<Unavail>

LBN: Wellspring Counseling Llc
<Unavail> is an health care organization with primary practice located at 5610 Medical Circle #25 , Madison WI 53719-1295. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Wellspring Counseling Llc can be contacted via phone (608) 274-5871, or through Estes, Ryel M via phone (608) 274-5871.

Contact Information

Primary practice address
5610 Medical Circle #25 Madison WI 53719-1295
Phone: (608) 274-5871
Fax: (608) 274-5764
Website:
Map and Directions
Authorized official contact:
Name: Estes, Ryel M LMFT
Phone: (608) 274-5871

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1983 Wisconsin

Profile Details

NPI number 1790774115
LBN Legal business name Wellspring Counseling Llc
DBA Doing business as <Unavail>
Authorized official Estes, Ryel M LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Jun 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790774115 NPPES
Wisconsin MEDICAID 42198500

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