Wellspring Therapy Services, Llc

LBN: Wellspring Therapy Services, Llc
Wellspring Therapy Services, Llc is an health care organization with primary practice located at 1804 West Street Suite 300, Annapolis MD 21401. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Hearing and Speech. Agencies / Early Intervention Provider Agency is the primary health care specialty. Wellspring Therapy Services, Llc can be contacted via phone (443) 775-5177, or through Depass, Thembi via phone (240) 495-1505.

Contact Information

Primary practice address
1804 West Street Suite 300 Annapolis MD 21401
Phone: (443) 775-5177
Fax: (410) 376-7611
Website:
Map and Directions
Authorized official contact:
Name: Depass, Thembi MS/CCC-SLP
Phone: (240) 495-1505

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X 03772 Maryland
Agencies / Early Intervention Provider Agency 252Y00000X 03772 Maryland
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 03772 Maryland

Profile Details

NPI number 1528400454
LBN Legal business name Wellspring Therapy Services, Llc
DBA Doing business as
Authorized official Depass, Thembi MS/CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2013
Last updated Mar 29th, 2021 - about 5 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 1528400454 NPPES
Maryland MEDICAID 453755993
Maryland MEDICAID 445005100

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