# WELLSPRING COUNSELING KY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellsprings Wellness of Lake Cumberland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053828293
- **Authorized official:** TRICIA L WHITAKER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (606) 687-2038

## Contact information

- **Practice address:** 200 BELMONT AVE, SOMERSET, KY 42501-2419
- **Practice address phone:** (606) 687-2038
- **Practice address fax:** (606) 200-3654
- **Mailing address:** PO BOX 3044, WEST SOMERSET, KY 42564-3044
- **Mailing address phone:** (606) 687-2038
- **Mailing address fax:** (606) 200-3654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 05/22/2024