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Organization
WELLSPRING COUNSELING CENTER INC
Active
Organization
WELLSPRING COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MARIE WESER LCSW (PRESIDENT)
(941) 916-0522
Entity
Organization
Contact information
Practice address
18245 PAULSON DR, SUITE 111, PT CHARLOTTE, FL 33954-1019
(941) 916-0522
(941) 206-2201
Mailing address
3284 HIGHLANDS RD, PUNTA GORDA, FL 33983-3549
(941) 916-0522
(941) 206-2201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0004869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238461
COM PSYCH PROVIDER ID
FL
01
—
87726
UNITED BEH. HEALTH ID
FL
01
—
Z8351
BCBS PROVIDER NUMBER
FL
Enumeration date
06/18/2006
Last updated
10/20/2011
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