Wellspring Holistic Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLSPRING HOLISTIC HEALTH

Practice address

1625 Evergreen Park
Statham, GA 30666-3629

Phone

(256) 393-3850

NPI assigned

Feb 19, 2026

Last updated

Feb 19, 2026By 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

Jenna Beth Mock, CNHP

Title

Practioner/Owner

Phone

(256) 393-3850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1780537563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 EVERGREEN PARK",
            "city": "STATHAM",
            "state": "GA",
            "postal_code": "306663629",
            "telephone_number": "256-393-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 EVERGREEN PARK",
            "city": "STATHAM",
            "state": "GA",
            "postal_code": "306663629",
            "telephone_number": "256-393-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRACTIONER/OWNER",
        "authorized_official_telephone_number": "256-393-3850",
        "authorized_official_credential": "CNHP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Statham, GA
• Providers in Statham, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.