Wellspring of Life Counseling & Play Therapy Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLSPRING OF LIFE COUNSELING & PLAY THERAPY CENTER

Practice address

5505 Grissom Rd Ste 128
San Antonio, TX 78238-3038

Phone

(210) 680-4747

Fax

(210) 680-4775

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christina Villarreal, PH.D.

Title

LPC, Owner

Phone

(210) 680-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Carrola, M.A., LPC-S, NCC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1194097865
  NPD (past)
• Christina Villarreal-Davis, PH.D.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1467521880
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1700010212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 GRISSOM RD STE 128",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383038",
            "telephone_number": "210-680-4747",
            "fax_number": "210-680-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 GRISSOM RD STE 128",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383038",
            "telephone_number": "210-680-4747",
            "fax_number": "210-680-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING OF LIFE COUNSELING & PLAY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "LPC, OWNER",
        "authorized_official_telephone_number": "210-680-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porfiria Pearl Wells
• Rachel Wells
• Ruthie Lee Wells
• Steohen Wells, PHARMD
• Theresa Tilford Wells, LCSW
• Wellspring Pharmacy LLC
• Wellspring Wellness Manifest
• Denise Dawn Welmaker, LCSW
• Conor Welsch
• Jenna Welsh

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.