Organization
WAYSPRING CLINIC DE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE HEYWOOD (CHIEF LEGAL OFFICER)
(615) 231-8560
Entity
Organization
Contact information
Practice address
700 W LEA BLVD STE 202, WILMINGTON, DE 19802-2545
(615) 345-3555
Mailing address
209 10TH AVE S STE 350, NASHVILLE, TN 37203-4166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/18/2022
Last updated
07/31/2025
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