Wellspring Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CCI001962 Issued in GA

Legal business name

WELLSPRING LIVING

Practice address

3965 Roosevelt Hwy
Atlanta, GA 30349-2607

Phone

(770) 631-8888

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Tirzah K Brown

Title

Ged Coach

Phone

(239) 410-2585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1982071858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 JOHNSON FERRY RD STE 140-330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421435",
            "telephone_number": "239-410-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 ROOSEVELT HWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303492607",
            "telephone_number": "770-631-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIRZAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GED COACH",
        "authorized_official_telephone_number": "239-410-2585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CCI001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Lamar Wells, LPC, CPCS
• Stephanie Marie Wells, NP
• Stephen J Wells, M.D.
• Veronica Wells
• Wellspring Ge Inc
• Wellspring MD LLC
• Wellstar Atlanta Medical Center, Inc
• Wellstar Atlanta Medical Center, Inc
• Wellstar Atlanta Medical Center, Inc
• Wellstar Medical Group, LLC

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.