Healthcare Provider Details

I. General information

NPI: 1902243256
Provider Name (Legal Business Name): WELLSPRING FAMILY & COMMUNITY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BENMAR DR STE 2255
HOUSTON TX
77060-3169
US

IV. Provider business mailing address

440 BENMAR DR STE 2255
HOUSTON TX
77060-3169
US

V. Phone/Fax

Practice location:
  • Phone: 832-881-1264
  • Fax: 888-467-1878
Mailing address:
  • Phone: 832-881-1264
  • Fax: 888-467-1878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID L. JONES
Title or Position: MEMBER
Credential: ED.D.
Phone: 832-881-1264