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Organization
WELLSPRING MENTAL WELLNESS LLC
Active
Organization
WELLSPRING MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLUKIE (ADMINISTRATOR)
(813) 997-2099
Entity
Organization
Contact information
Practice address
14486 UNIVERSITY GOVE PLACE, TAMPA, FL 33613
(813) 997-2099
Mailing address
5005 W LAUREL ST STE 100, TAMPA, FL 33607-3896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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