WELLSPRING, LLC (NPI# 1881178176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881178176 |
| Entity Type | Organization |
| Organization Name | WELLSPRING, LLC |
| Practice Address |
142 Hidden Acres Ln Lafayette TN 37083-1911 |
| Practice Telephone | 6156700602 |
| Mailing Telephone | 6156700602 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | DR. KIMBERLY HALE (OWNER) |
| Authorized Official Telephone | 6156700602 |
| Authorized Official Credential | PHD, BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WELLSPRING, LLC | 2415 240th St, Dallas Center, IA 50063 |
| Street Address |
142 HIDDEN ACRES LN |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154794675 | Kimberly Renee Hale | Behavioral Analyst | 142 Hidden Acres Ln, Lafayette, TN 37083-1911 | 2015-11-05 |
| 1144785759 | Jenna Renee Dillard | Behavior Technician | 142 Hidden Acres Ln, Lafayette, TN 37083-1911 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| Find all providers in zip 37083 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897719 | Taylor Boulet | Behavioral Analyst | 504 Guilbeau Rd Ste D, Lafayette, LA 70506-8413 | 2020-09-24 |
| 1568074250 | Carly Danielle Mouton | Behavioral Analyst | 207 Calypso Ln, Lafayette, LA 70508-5109 | 2020-08-23 |
| 1033694161 | Summit Behavioral Services | Behavioral Analyst | 105 Saint James Dr, Lafayette, LA 70506-5911 | 2018-09-25 |
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1982190856 | Hannah Lahaye | Behavioral Analyst | 601 Loire Ave Ste D, Lafayette, LA 70507-2477 | 2018-07-03 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1780036699 | Danielle Kumandan | Behavioral Analyst | 3650 Mt Diablo Blvd, Lafayette, CA 94549-3780 | 2016-07-05 |
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| Find all providers in LAFAYETTE | ||||
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| 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.