Healthcare Provider Details

I. General information

NPI: 1508624560
Provider Name (Legal Business Name): WELLSPRING COUNSELING AND EDUCATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16915 WALDEN RD # 311
MONTGOMERY TX
77356-3219
US

IV. Provider business mailing address

16915 WALDEN RD # 311
MONTGOMERY TX
77356-3219
US

V. Phone/Fax

Practice location:
  • Phone: 832-422-6036
  • Fax:
Mailing address:
  • Phone: 832-422-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA TRELEAVEN
Title or Position: OWNER/PROFESSIONAL COUNSELOR
Credential: EDD, LPC
Phone: 832-422-6036