Wellspring Healing Center, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

WELLSPRING HEALING CENTER, LLC

Practice address

704 N Congress St
3
Ypsilanti, MI 48197-3318

Phone

(765) 426-1313

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Emerson Lane Delacroix, LLPNPI 1023312857

Title

Owner/Operator & Psychologist

Phone

(734) 544-1612

Specialties & licenses 5

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emerson Lane Delacroix, LLP

  • Counseling Psychologist
  • Ypsilanti, MI
  • NPI 1023312857

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Sarah Abdel-Wahab-O'Brien, LLP

  • Psychologist
  • Ypsilanti, MI
  • NPI 1518614262
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1093256646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N CONGRESS ST",
            "address_2": "3",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973318",
            "telephone_number": "765-426-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N CONGRESS ST",
            "address_2": "3",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973318",
            "telephone_number": "765-426-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "DELACROIX",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER/OPERATOR & PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-544-1612",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Weiner, MD
• Ashlee Weise
• Walter Max Weisskopf
• Bryan Welch
• Mykeisha Wells
• Wendy L Thompson PHD PLLC
• Sophia Weng
• Tracey Debolt Wentz
• Kevin Wenzke, M.D.
• Jane C Werner, MD

• Counseling Psychologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.