Wellspring Life Educational & Counseling Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLSPRING LIFE EDUCATIONAL & COUNSELING GROUP

Practice address

155 Humboldt Dr
Fayetteville, GA 30214-2026

Phone

(678) 752-1109

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lakeacha M JettNPI 1326442922

Title

Ceo

Phone

(404) 953-2590

Specialties & licenses 1

Addresses

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.

• Lakeacha M Jett

  • Mental Health Counselor
  • Jonesboro, GA
  • NPI 1326442922
  NPD (past) Authorized official

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1386001956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303321001",
            "telephone_number": "678-752-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HUMBOLDT DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142026",
            "telephone_number": "678-752-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING LIFE EDUCATIONAL & COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "LAKEACHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-953-2590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulima Webster
• Linda C Weigand, LPC
• Robert B Weinstein, DPM
• Well3Plus Collaborative Care, LLC
• Wellness Medical Solutions LLC
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
• Cornelia Wenze, ED.D.
• Spencer David Wenzel
• Janae Crashone Whatley-Flecha, MS, BCBA

• Community/Behavioral Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.