Organization
WELLSPRING WELLNESS MANIFEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SPEEKS ARMSTRONG M.A.; PRSS, IRSS (COO)
(210) 607-7125
Entity
Organization
Contact information
Practice address
5624 RANDOLPH BLVD, SAN ANTONIO, TX 78233-6116
(210) 607-7125
(210) 582-2711
Mailing address
2313 LOCKHILL SELMA RD # 111, SAN ANTONIO, TX 78230-3007
(210) 607-7125
(210) 582-2711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TX
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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