Wellspring Counseling South Carolina

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLSPRING COUNSELING SOUTH CAROLINA

Practice address

6156 Saint Andrews Rd Ste 105
Columbia, SC 29212-3147

Phone

(803) 743-5098

Fax

(866) 718-3107

NPI assigned

Nov 26, 2018

Organization subpart

No

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

Authorized official

Name

Kellie Moore, LPC

Title

Owner

Phone

(803) 743-5098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1396215018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LEYLAND CYPRESS CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167647",
            "telephone_number": "803-743-5098",
            "fax_number": "866-718-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 SAINT ANDREWS RD STE 105",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123147",
            "telephone_number": "803-743-5098",
            "fax_number": "866-718-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-743-5098",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Wells
• Raygen Wells
• Ronald Scott Wells, M.D.
• Sylvia K. Wells
• Thomas Alexander Wells
• Wellspring Family Medicine, PA
• Wellspring Healthcare LLC
• Georgia Welnick, RN
• Robin Barrineau Welsh, MD
• Welvista

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.