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General NPI Number Information
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NPI Number | 1083933121
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Entity Type | Organization
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Legal Business Name | WELL SPRING BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 521 ROUTE 515
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City | VERNON
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State | NJ
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Zip | 07462-3033
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Country | US
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Telephone | 201-317-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PINE TER
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City | HIGHLAND LAKES
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State | NJ
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Zip | 07422-1119
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MS. CHRISTINE WELZER
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Credential | LCSW
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Telephone | 201-317-3768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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