WELLSPRING (NPI# 1558765016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558765016 |
| Entity Type | Organization |
| Organization Name | WELLSPRING |
| Practice Address |
5618 Nw 43rd St Gainesville FL 32653-3406 |
| Practice Telephone | 3523778770 |
| Practice Fax Number | 3523713623 |
| Mailing Telephone | 3523778770 |
| Mailing Fax Number | 3523713623 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | DR. GEORGE RANDALL WILLIAMS (OWNER) |
| Authorized Official Telephone | 3523778770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ME0037298 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PSYCHIATRY | 59 3213731 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558767970 | Wellspring | Psychiatric Residential Treatment Facility | 5618 Nw 43rd Street, Gainesville, FL 32653 | 2014-11-12 |
| 1619188794 | Wellspring | Counselor | 1335 Dublin Rd., Suite 208d, Columbus, OH 43214 | 2007-05-24 |
| 1003851411 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2006-06-19 |
| 1912262619 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2012-07-09 |
| 1912046202 | Wellspring | Clinic/Center | 2034 Se 6th Ave, Portland, OR 97214-4510 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSPRING | 2181 Vista Entrada, Newport Beach, CA 92660-3937 |
| Colorado Business Entities | WELLSPRING | 3208 68th Ave Ct, Suite 203, Greeley, CO 80634 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 1, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 2, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Washington State Corporations | WELLSPRING 294 LLC | 527 Covered Bridge Rd, Grays River, WA 98621-9716 |
| Colorado Business Entities | WellSpring 360 of Colorado, LLC | 5750 South Cherry Circle, Greenwood Village, CO 80121 |
| Oklahoma Business Registrations | WELLSPRING ADVANTAGE, LLC | 1707 Ranch Rd, Sulphur, OK 73086 |
| Washington State Corporations | WELLSPRING AFH CORP | 26016 116th Ave Se, Kent, WA 98030-8480 |
| Oregon Corporations, Companies and Business Names | WELLSPRING AIKIDO | 1205 Se Harvey Dr, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | WELLSPRING ANIMAL ACUPRESSURE, LLC | Wellspring Farm, 28380 Nw Dorland Rd, North Plains, OR 97133 |
| Street Address |
5618 NW 43RD ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32653-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844337 | George Randall Williams | Counselor | 5618 Nw 43rd St, Gainesville, FL 32653-3332 | 2006-05-05 |
| 1528399771 | Paul L. Linn | Counselor | 5618 Nw 43rd St, Gainesville, FL 32653-3406 | 2010-01-27 |
| 1720201791 | Allpoints Therapy LLC | Massage Therapist | 5618 Nw 43rd St, Suite B, Gainesville, FL 32653-3406 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200095 | Venice Hay Lawrence | Home Health Aide | 6604 Nw 28th Terr, Gainesville, FL 32653 | 2018-10-08 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1558767970 | Wellspring | Psychiatric Residential Treatment Facility | 5618 Nw 43rd Street, Gainesville, FL 32653 | 2014-11-12 |
| 1770989246 | Dawn Brown | Physician Assistant | North Florida Integrative Medicine, 6228 Nw 43rd Street Suite B, Gainesville, FL 32653 | 2014-11-11 |
| 1124428610 | Emma Grauerholz-fisher | Behavioral Analyst | 6224 Nw 43rd St., Suite B, Gainesville, FL 32653 | 2014-09-03 |
| 1790194611 | Yoko Fisher | Behavioral Analyst | 6224 Nw 43rd, Suite B, Gainesville, FL 32653 | 2014-08-05 |
| 1457763674 | Brandon Christopher Perez | Behavioral Analyst | 6224 Nw 43rd St, Suite B, Gainesville, FL 32653 | 2014-05-22 |
| 1417369836 | Karla Zabala | Behavioral Analyst | 6224 Nw 43rd Street, Suite B, Gainesville, FL 32653 | 2014-05-21 |
| 1780909358 | Kirstin Barley Adams | Family Medicine | 3627 Nw 64th Ln, Gainesville, FL 32653 | 2010-04-07 |
| Find all providers in zip 32653 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817760 | Appendix, Inc | Counselor | 2228 Nw 44th Pl, Gainesville, FL 32605-1761 | 2020-10-06 |
| 1063019057 | Shaun Michael Anderson | Counselor | 235 S Main St Ste 203, Gainesville, FL 32601-6585 | 2020-10-03 |
| 1538775804 | Daniel Patrick Blakeman | Counselor | 2220 Sw 34th St Apt 326, Gainesville, FL 32608-1213 | 2020-09-21 |
| 1265041487 | Margaret Ann Creegan | Counselor | 8763 Sw 27th Ln, Gainesville, FL 32608-9338 | 2020-07-23 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1326669490 | Jennifer Beaujon | Counselor | 6117 Cardinal Dr, Gainesville, GA 30506-2437 | 2020-04-30 |
| 1699303602 | Sunni S Lutton | Counselor | 3745 Sw 3rd Pl, Gainesville, FL 32607-2846 | 2020-03-27 |
| 1275163420 | Yarelis Serrano | Counselor | 8763 Sw 27th Ln # 101, Gainesville, FL 32608-9338 | 2020-01-16 |
| 1861039968 | Lori Lynn Mcgruder | Counselor | 1607 Nw 120th Way, Gainesville, FL 32606-5273 | 2019-12-08 |
| 1003467788 | Darcy Pare | Counselor | 10390 Sw 105th Dr, Gainesville, FL 32608-7358 | 2019-09-24 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32653 |
Please comment or provide details below to improve the information on WELLSPRING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.