# WELLSPRINGS HOLISTIC MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114371697
- **Authorized official:** MS. LYNN P DELAURENTIS MA (ADMINISTRATOR)
- **Authorized official phone:** (609) 481-5830

## Contact information

- **Practice address:** 813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
- **Practice address phone:** (609) 481-5830
- **Practice address fax:** (856) 222-9916
- **Mailing address:** 813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
- **Mailing address phone:** (609) 481-5830
- **Mailing address fax:** (856) 222-9916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | SI00144600 | NJ | — |
| 208D00000X | General Practice Physician | 25MB05189200 | NJ | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016