Wellspring Therapy Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

03772 Issued in MD

Legal business name

WELLSPRING THERAPY SERVICES, LLC

Practice address

1804 West Street
Suite 300
Annapolis, MD 21401

Phone

(443) 775-5177

Fax

(410) 376-7611

NPI assigned

Jul 19, 2013

Last updated

Mar 29, 2021By 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

Thembi Depass, MS/CCC-SLP

Title

Ceo

Phone

(240) 495-1505

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1528400454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 WEST STREET",
            "address_2": "SUITE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "443-775-5177",
            "fax_number": "410-376-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 WEST STREET",
            "address_2": "SUITE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "443-775-5177",
            "fax_number": "410-376-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "THEMBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-495-1505",
        "authorized_official_credential": "MS/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "MD",
            "license": "03772",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "03772",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MD",
            "license": "03772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Loulie Wells, PHARMD
• Laura Elizabeth Wells, LCSW-C
• Michael Wells, P.T., D.P.T
• Shevonne Katherine Wells, D.P.M.
• Wellspring Charities, Inc
• Wellsviewcare LLC
• Deborah Jean Welsh, RN,C.
• Kelly Wendorf
• Christine Werner Jovinelli, R.N.,
• Jeanine L Werner, M.D.

• Early Intervention Provider Agency in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Early Intervention Provider Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.