Provider Demographics
NPI:1508624560
Name:WELLSPRING COUNSELING AND EDUCATION, PLLC
Entity Type:Organization
Organization Name:WELLSPRING COUNSELING AND EDUCATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRELEAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC
Authorized Official - Phone:832-422-6036
Mailing Address - Street 1:16915 WALDEN RD # 311
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-3219
Mailing Address - Country:US
Mailing Address - Phone:832-422-6036
Mailing Address - Fax:
Practice Address - Street 1:16915 WALDEN RD # 311
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-3219
Practice Address - Country:US
Practice Address - Phone:832-422-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty