Organization
WELLSPRING RENEWAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SPOONER LPC (OWNER)
(501) 265-0046
Entity
Organization
Contact information
Practice address
101 N WOODROW ST, LITTLE ROCK, AR 72205-4341
15012650046
Mailing address
101 N WOODROW ST, LITTLE ROCK, AR 72205-4341
15012650046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1101005
AR
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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