Healthcare Provider Details
I. General information
NPI: 1861320822
Provider Name (Legal Business Name): WELLSPRING COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2177 SALK AVE STE 175
CARLSBAD CA
92008-7382
US
IV. Provider business mailing address
2177 SALK AVE STE 175
CARLSBAD CA
92008-7382
US
V. Phone/Fax
- Phone: --
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
PEARL
GALINDO
Title or Position: OWNER
Credential: LCSW, PPSC
Phone: --