Wellspring Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC001531 Issued in GA

Legal business name

WELLSPRING COUNSELING CENTER

Practice address

700 Old Roswell Lakes Parkway
Suite 300
Roswell, GA 30076

Phone

(770) 587-4736

Fax

(678) 802-2116

NPI assigned

Sep 1, 2009

Last updated

Oct 24, 2016By 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

Mr. Thomas Query, LPCNPI 1174777353

Title

Counselor

Phone

(770) 587-4736

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.

• Thomas W Query, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1174777353
  Authorized official Same address or phone

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1649403015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PARKWAY",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-587-4736",
            "fax_number": "678-802-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PARKWAY",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-587-4736",
            "fax_number": "678-802-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "QUERY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "770-587-4736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC001531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.