Provider Demographics
NPI:1083701692
Name:WELLSPRINGS COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:WELLSPRINGS COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:423-587-9339
Mailing Address - Street 1:1135 W 3RD NORTH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3889
Mailing Address - Country:US
Mailing Address - Phone:423-587-9339
Mailing Address - Fax:423-587-3439
Practice Address - Street 1:1135 W 3RD NORTH ST STE A
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3889
Practice Address - Country:US
Practice Address - Phone:423-587-9339
Practice Address - Fax:423-587-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty