Organization
WELLSPRING HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMERSON LANE DELACROIX LLP (OWNER/OPERATOR & PSYCHOLOGIST)
(734) 544-1612
Entity
Organization
Contact information
Practice address
704 N CONGRESS ST, 3, YPSILANTI, MI 48197-3318
(765) 426-1313
Mailing address
704 N CONGRESS ST, 3, YPSILANTI, MI 48197-3318
(765) 426-1313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/15/2017
Last updated
10/05/2021
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