Provider Demographics
NPI:1063739415
Name:WELLSPRINGS PSYCHIATRY AND COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:WELLSPRINGS PSYCHIATRY AND COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:COLLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-339-4642
Mailing Address - Street 1:109 HOLIDAY CT STE D10
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1311
Mailing Address - Country:US
Mailing Address - Phone:615-339-4642
Mailing Address - Fax:888-381-3549
Practice Address - Street 1:109 HOLIDAY CT STE D10
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1311
Practice Address - Country:US
Practice Address - Phone:615-339-4642
Practice Address - Fax:888-381-3549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty