Provider Demographics
NPI:1811552789
Name:WELLSPRINGS COUNSELING SERVICES
Entity Type:Organization
Organization Name:WELLSPRINGS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:BRUMETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-230-2552
Mailing Address - Street 1:114 DENNIS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2917
Mailing Address - Country:US
Mailing Address - Phone:859-230-2552
Mailing Address - Fax:844-648-5885
Practice Address - Street 1:114 DENNIS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2917
Practice Address - Country:US
Practice Address - Phone:859-230-2552
Practice Address - Fax:844-648-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty