Organization
CULTIVATED WELLSPRING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA SPARROW MA, LCMHC (LICENSED PROFESSIONAL COUNSELOR)
(336) 265-7297
Entity
Organization
Contact information
Practice address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 265-7297
(336) 773-0332
Mailing address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 265-7297
(336) 773-0332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/20/2022
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