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General NPI Number Information
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NPI Number | 1811552789
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Entity Type | Organization
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Legal Business Name | WELLSPRINGS COUNSELING SERVICES
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 114 DENNIS DR
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City | LEXINGTON
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State | KY
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Zip | 40503-2917
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Country | US
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Telephone | 859-230-2552
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Fax | 844-648-5885
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Provider Business Mailing Address
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Address Line | 114 DENNIS DR
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City | LEXINGTON
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State | KY
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Zip | 40503-2917
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Country | US
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Telephone | 859-230-2552
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Fax | 844-648-5885
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SONDRA ROSE BRUMETT
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Credential | LPCC
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Telephone | 859-230-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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