Wellspring Life Center, LLC

NPI #1518661305 in Euclid, Ohio

Provider Information

NPI Number: 1518661305
Entity Type: Organization
Organization Name: Wellspring Life Center, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 28, 2023
Last Updated: Mar 28, 2023

Practice Location

Address: 20150 LAKE SHORE BLVD
City: Euclid
State: Ohio
ZIP Code: 44123-1839
Phone: (216) 714-2151

Authorized Official

Name: MRS. TAMIKA MOORE, LISW-S
Title: CLINICAL DIRECTOR
Phone: (216) 714-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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