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Organization
WELLSPRING MENTAL HEALTH GROUP
Active
Organization
WELLSPRING MENTAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE INGRAM MBA (DIRECTOR)
(386) 410-3354
Entity
Organization
Contact information
Practice address
1121 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6069
(386) 410-3354
Mailing address
1982 SR 44, SUITE 194, NEW SMYRNA BEACH, FL 32168
(386) 316-7462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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