Healthcare Provider Details

I. General information

NPI: 1144876459
Provider Name (Legal Business Name): WELLSPRING BEHAVIOR HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3833 S 14TH ST
LINCOLN NE
68502-5340
US

IV. Provider business mailing address

3833 S 14TH ST
LINCOLN NE
68502-5340
US

V. Phone/Fax

Practice location:
  • Phone: 402-937-8323
  • Fax: 402-937-8324
Mailing address:
  • Phone: 402-937-8323
  • Fax: 402-937-8324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIC JAMES HARMES
Title or Position: CEO
Credential: MA LIMHP LADC
Phone: 402-937-8323