Wellspring Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I.0800109-SUPV Issued in OH

Legal business name

WELLSPRING COUNSELING SERVICES

Practice address

4041 W Sylvania Ave
Suite LL2
Toledo, OH 43623-4465

Phone

(419) 704-2938

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Raquel Wilson, LISW-S

Title

Clinical Social Worker

Phone

(419) 704-2938

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1649501776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 W SYLVANIA AVE",
            "address_2": "SUITE LL2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234465",
            "telephone_number": "419-704-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W SYLVANIA AVE",
            "address_2": "SUITE LL2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234465",
            "telephone_number": "419-704-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "419-704-2938",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I.0800109-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wells
• Rauheem Isaiah Wells
• Shantoria Wells
• Shari Wells
• Tichillian D Wells
• Allison Welly
• Raymond Anthony Welly, D.C.
• Sarah Welniak
• Welpro Health Inc.
• Julie L Welshans, MNT

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.