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Contact Information

WELLSPRING HEALTHCARE LLC
1415 BLANDING ST STE 4
COLUMBIA, SC29201-2922
 Phone: 803-779-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WELLSPRING HEALTHCARE LLC

NPI Number 1386134435
LBN Legal business name WELLSPRING HEALTHCARE LLC
Authorized official JOSNELDAVMATUS FAIIVAE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2018
Last updated 05/15/2018 - About 8 years ago
Identifiers
SC License # 34709
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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