Organization
DR WELLSPRING AZ
Active
Organization
DR WELLSPRING AZ
Active
Parent organization
RIVERMEND HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERMEND HEALTH, LLC
Authorized official
JEAN ANN DOCKERY (DIRECTOR OF PATIENT ACCOUNTS)
(561) 868-1607
Entity
Organization
Contact information
Practice address
20 E UNIVERSITY DR, SUITE 301, TEMPE, AZ 85281-5617
(480) 303-0844
(480) 303-0848
Mailing address
20 E UNIVERSITY DR, SUITE 301, TEMPE, AZ 85281-5617
(480) 303-0844
(480) 303-0848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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