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NPI 1285583443

NPI 1285583443 : WELLSPRING CLINICAL SERVICES L.L.C. : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1285583443
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELLSPRING CLINICAL SERVICES L.L.C. 
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Dates
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    Enumeration Date     |    01/22/2026
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    Last Update Date     |    01/22/2026
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Provider Practice Location Address
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    Address Line         |    501 SILVERSIDE RD STE 25 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19809-1375
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    Country              |    US
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    Telephone            |    302-330-7471
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    Fax                  |    877-539-2555
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Provider Business Mailing Address
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    Address Line         |    501 SILVERSIDE RD STE 25 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19809-1375
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    Country              |    US
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    Telephone            |    302-330-7471
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    Fax                  |    877-539-2555
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     DOROTHY  NYABIOSI 
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    Credential           |    PMHNP
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    Telephone            |    469-540-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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