Wellspring Family Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

62399 Issued in TX

Legal business name

WELLSPRING FAMILY COUNSELING, PLLC

Practice address

1227 N Valley Mills Dr
Suite 206
Waco, TX 76710-4427

Phone

(254) 751-1164

NPI assigned

Sep 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Derek Slover, M.A., LPC

Title

LPC/Owner

Phone

(254) 855-7699

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1043468010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N VALLEY MILLS DR",
            "address_2": "SUITE 206",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104427",
            "telephone_number": "254-751-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N VALLEY MILLS DR",
            "address_2": "SUITE 206",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104427",
            "telephone_number": "254-751-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SLOVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "254-855-7699",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "62399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Waco, TX
• Providers in Waco, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.