| Wellspring | |
|
5618 Nw 43rd St Gainesville FL 32653-3406 | |
| (352) 377-8770 | |
| (352) 371-3623 |
| Full Name | Wellspring |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5618 Nw 43rd St, Gainesville, Florida |
| Authorized Official Name and Position | George Randall Williams (OWNER) |
| Authorized Official Contact | 3523778770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring 5618 Nw 43rd St Gainesville FL 32653-3406 Ph: (352) 377-8770 | Wellspring 5618 Nw 43rd St Gainesville FL 32653-3406 Ph: (352) 377-8770 |
| NPI Number | 1558765016 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558765016 | NPI | - | NPPES |
| 59 3213731 | Other | FL | PSYCHIATRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ME0037298 (Florida) | Primary |
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› Verified 8 days ago
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