Organization
WELLSPRING COMMUNITY SUPPORT SERVICES, INC.
Active
Organization
WELLSPRING COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK M. VON HENDY LSW (PRESIDENT)
(570) 662-1064
Entity
Organization
Contact information
Practice address
3RD & ST. JAMES STREET, ST. JAMES COMPLEX #206B, MANSFIELD, PA 16933
(570) 662-2821
(570) 662-2822
Mailing address
PO BOX 574, MANSFIELD, PA 16933-0574
(570) 662-1064
(570) 662-0966
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
221170
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
221170
PA
261QM0850X
Adult Mental Health Clinic/Center
Primary
221170
PA
261QM0850X
Adult Mental Health Clinic/Center
222350
PA
261QR0400X
Rehabilitation Clinic/Center
221170
PA
Other
Enumeration date
08/07/2009
Last updated
04/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up