Organization
WELLSPRING COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID DEASON LPC (OWNER)
(803) 606-4441
Entity
Organization
Contact information
Practice address
7941 BROAD RIVER RD, SANDHILLS PEDIATRICS, IRMO, SC 29063
(803) 606-4441
Mailing address
204 MYLES CT, LEXINGTON, SC 29072-7867
(803) 606-4441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3819
SC
Other
Enumeration date
05/15/2007
Last updated
09/19/2011
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