| NPI | 1609567627 |
|---|---|
| Doing Business As | WELLSPRINGS WELLNESS OF LAKE CUMBERLAND |
| Entity Type | Organization |
| Authorized Contact | TRICIA L WHITAKER Co Owner 606-687-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-05-22 |