| NPI | 1790774115 |
|---|---|
| Former Legal Business Name | BRYCE M. MITCHELL DBA WELLSPRING PSYCHOTHERAPY & COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | RYEL M ESTES Owner 608-274-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WI 1983) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2016-06-06 |