NPI Code Details Logo

NPI 1902749260

NPI 1902749260 : WELLSPRING COUNSELING LLC : ANDOVER, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1902749260
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WELLSPRING COUNSELING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/13/2026
-----------------------------------------------------
    Last Update Date     |    04/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    310 W CENTRAL AVE STE L 
-----------------------------------------------------
    City                 |    ANDOVER
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67002-9687
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-680-2449
-----------------------------------------------------
    Fax                  |    316-315-6945
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    310 W CENTRAL AVE STE L 
-----------------------------------------------------
    City                 |    ANDOVER
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67002-9687
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-680-2449
-----------------------------------------------------
    Fax                  |    316-315-6945
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     AARON  SCHARENBERG 
-----------------------------------------------------
    Credential           |    LCPC
-----------------------------------------------------
    Telephone            |    316-680-2449
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.