Provider Demographics
NPI:1760674139
Name:THE WELLSPRING ALLIANCE FOR FAMILIES, INC.
Entity Type:Organization
Organization Name:THE WELLSPRING ALLIANCE FOR FAMILIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROFESSIONAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:318-323-1505
Mailing Address - Street 1:1103 HUDSON LN
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6035
Mailing Address - Country:US
Mailing Address - Phone:318-323-1505
Mailing Address - Fax:318-323-1361
Practice Address - Street 1:1103 HUDSON LN
Practice Address - Street 2:SUITE #1
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6035
Practice Address - Country:US
Practice Address - Phone:318-323-1505
Practice Address - Fax:318-323-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health