| Organization Name: | WELLSPRING THERAPEUTIC PARTNERS, LLC |
| NPI Number: | 1801293592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA R COUCH (OWNER/PROVIDER) |
| Mailing Address: | 42815 Garfield Rd Suite 210 Clinton Township |
| State: | MI US |
| Postal Code: | 480381143 |
| Phone Number: | 5862128218 |
| Fax Number: | 5864086485 |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6401011566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |