Wellspring Counseling North Georgia LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLSPRING COUNSELING NORTH GEORGIA LLC

Practice address

800 Old Dawson Village Rd E
Ste 010
Dawsonville, GA 30534-3816

Phone

(866) 714-1224

Fax

(866) 718-3108

NPI assigned

Nov 3, 2011

Last updated

Dec 11, 2012By 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

Kathy R Dodson, MS

Title

Owner

Phone

(866) 714-1224

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lisa Ann Sackellares, LCSW

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1558619833
  NPD
• Cheryl A O'Connell, LPC, CPCS, BC-TMH

  • Professional Counselor
  • Cumming, GA
  • NPI 1750786794
  NPD (past)
• Jennifer Kinney Whitney, RN, MA, CPNP

  • School Nurse Practitioner
  • Saint Paul, MN
  • NPI 1407138282
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1912284084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD DAWSON VILLAGE RD E",
            "address_2": "STE 010",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305343816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD DAWSON VILLAGE RD E",
            "address_2": "STE 010",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305343816",
            "telephone_number": "866-714-1224",
            "fax_number": "866-718-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING NORTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-714-1224",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Isabel Wallace, LPC
• Tina Marie Wallis, LPC, CPCS
• Alison Hudson Ward, R.N, B.S.N
• Warrior Therapy Services, LLC
• Renee Latrese Waters, M.D.
• Candace L. Wheeler, M.S., LPC
• Morgan Nicole Wheeler, MS, OTR/L
• Whispering Willow
• James Paul Whitcomb, RPH
• Alec Whitley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.