Healthcare Provider Details

I. General information

NPI: 1871169144
Provider Name (Legal Business Name): SPRING COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 US HIGHWAY 45 S
PINSON TN
38366-9789
US

IV. Provider business mailing address

PO BOX 7674
JACKSON TN
38302-7674
US

V. Phone/Fax

Practice location:
  • Phone: 731-234-9700
  • Fax:
Mailing address:
  • Phone: 731-234-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA J SPRING
Title or Position: OWNER
Credential: LCSW
Phone: 731-234-9700