Wellspring Counseling LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Madison, WI. Organization (NPI-2).
NPI number1790774115
StatusActive
Last updated in NPPESJun 6, 2016
Details
- NPI
- 1790774115
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspring Counseling LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Jun 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 1983 | WI | Yes |
Other names
- Bryce M. Mitchell Dba Wellspring Psychotherapy & Counseling Center (Former Legal Business Name)
Practice location
5610 Medical Circle #25Madison, WI 53719-1295
Phone 608-274-5871 · Fax 608-274-5764
Mailing address
5610 Medical Circle #25Madison, WI 53719-1295
Phone 608-274-5871 · Fax 608-274-5764
Authorized official
Ryel M Estes
Owner
6082745871
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All 68 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Madison · All 16,750 providers in Madison
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