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General NPI Number Information
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NPI Number | 1962557140
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Entity Type | Organization
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Legal Business Name | WELLSPRING COUNSELING CENTER
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2813 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-6125
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Country | US
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Telephone | 334-741-8007
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Fax | 334-741-8810
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Provider Business Mailing Address
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Address Line | 2813 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-6125
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Country | US
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Telephone | 334-741-8007
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Fax | 334-741-8810
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA PAULINE WILKINS
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Credential | M.S.
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Telephone | 334-444-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | L197
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License Number State | AL
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