Organization
WELLSPRING RESTORATIVE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MASON MITCHELL MBA, LCPC (CEO)
(301) 650-5940
Entity
Organization
Contact information
Practice address
12510 PROSPERITY DR STE 180, SILVER SPRING, MD 20904-1695
(301) 650-5940
(240) 465-0070
Mailing address
11821 PARKLAWN DR STE 105, ROCKVILLE, MD 20852-2539
(301) 650-5940
(301) 650-5945
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/07/2018
Last updated
11/27/2024
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