Provider Demographics
NPI:1245797216
Name:WELLSPRING TMS, INC
Entity Type:Organization
Organization Name:WELLSPRING TMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:AL
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:205-977-3003
Mailing Address - Street 1:3104 BLUE LAKE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2345
Mailing Address - Country:US
Mailing Address - Phone:205-977-3003
Mailing Address - Fax:205-977-3939
Practice Address - Street 1:3104 BLUE LAKE DR STE 101
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2345
Practice Address - Country:US
Practice Address - Phone:205-977-3003
Practice Address - Fax:205-977-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)