Organization
WELLSPRING BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY CROFT DNP, PMHNP (OWNER/PROVIDER)
(208) 938-2836
Entity
Organization
Contact information
Practice address
1159 E IRON EAGLE DR STE 100, EAGLE, ID 83616-6868
(208) 938-2836
(208) 938-2897
Mailing address
1159 E IRON EAGLE DR STE 100, EAGLE, ID 83616-6868
(208) 938-2836
(208) 938-2897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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