Active NPI
Wellspring of Life Center, PLLC
- Clinical Social Worker
- Flower Mound, TX
National Provider Identifier
1124930466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WELLSPRING OF LIFE CENTER, PLLC
- Practice address
- 1101 Surrey LN, Building 200
Suite 17
Flower Mound, TX 75022 - Phone
- (213) 219-0099
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Chae, LCSW
- Title
- Owner
- Phone
- (213) 219-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1101 Surrey LN, Building 200
Suite 17
Flower Mound, TX 75022
Mailing address
1101 Surrey LN, Building 200
Suite 17
Flower Mound, TX 75022
Phone (213) 219-0099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1124930466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SURREY LN, BUILDING 200",
"address_2": "SUITE 17",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "75022",
"telephone_number": "213-219-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SURREY LN, BUILDING 200",
"address_2": "SUITE 17",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "75022",
"telephone_number": "213-219-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING OF LIFE CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "CHAE",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-219-0099",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
- Kristen Elise Welch, LPC
- Wellness Home Health Care LLC
- Dawn Delphia Wells, PHYSICIAN ASSISTANT
- Elizabeth Ann Wells, MS, LMFTA
- Georgette Wells, LCSW
- Chelcee West
- Tabitha K Westbrook, LMFT, LCMHC, LPC
- Katie Westmoreland, PT, DPT
- Stephanie Dawn Wheeler, PT
- White Orchid Consulting (Oak and Willow Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.