Healthcare Provider Details
I. General information
NPI: 1508793647
Provider Name (Legal Business Name): THREE SPRINGS WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
804 MAIN ST APT 2
SUMMERSVILLE WV
26651-1491
US
IV. Provider business mailing address
804 MAIN ST APT 2
SUMMERSVILLE WV
26651-1491
US
V. Phone/Fax
- Phone: 304-651-8718
- Fax:
- Phone: 304-651-8718
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
SHARP-SPINKS
Title or Position: OWNER
Credential: MSW, LICSW, AADC, MA
Phone: 304-651-4020