Healthcare Provider Details

I. General information

NPI: 1336680495
Provider Name (Legal Business Name): WELLSPRING PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9829 BLUE LARKSPUR LN STE 2
MONTEREY CA
93940-6535
US

IV. Provider business mailing address

9829 BLUE LARKSPUR LN STE 2
MONTEREY CA
93940-6535
US

V. Phone/Fax

Practice location:
  • Phone: 831-647-8490
  • Fax: 831-641-7320
Mailing address:
  • Phone: 831-647-8490
  • Fax: 831-641-7320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY22287
License Number StateCA

VIII. Authorized Official

Name: MRS. LINNEA ESTES TERRANOVA
Title or Position: PSYCHOLOGIST, CEO
Credential: PSYD.
Phone: 831-747-4390