Springwell, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SPRINGWELL, LLC

Doing business as

WellSpring, LLC

Practice address

901 S Harding Dr Apt B
Goldsboro, NC 27534-7424

Phone

(919) 591-4193

NPI assigned

Feb 6, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edna Earle Williams, LCAS, CCS

Title

Ceo

Phone

(919) 591-4193

Specialties & licenses 1

Addresses

Other names 1

• WellSpring, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edna Earle Williams-Cadichon, MS, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Goldsboro, NC
  • NPI 1881998383
  NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1194421651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S HARDING DR APT B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347424",
            "telephone_number": "919-591-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S HARDING DR APT B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347424",
            "telephone_number": "919-591-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-591-4193",
        "authorized_official_credential": "LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpring, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpring, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Family Markets LLC (Southern Family Market)
• Megan Amber Spangler, LCSWA
• Shannon Ivy Speece, ANP
• Lori Diane Spisak, MD
• Donna Mercer Spivey
• Sandra Spruill
• Shelby Spruill
• Venayagaratnam Srikantha, P.A.
• Ramaswamy Vellore Sriraman, M.D.
• SSC Goldsboro Operating Company LLC (Brian Center Health & Rehabilitation - Goldsboro)

• Addiction (Substance Use Disorder) Counselor in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.