Provider Demographics
NPI:1144876459
Name:WELLSPRING BEHAVIOR HEALTH LLC
Entity type:Organization
Organization Name:WELLSPRING BEHAVIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARMES
Authorized Official - Suffix:
Authorized Official - Credentials:MA LIMHP LADC
Authorized Official - Phone:402-937-8323
Mailing Address - Street 1:3833 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-5340
Mailing Address - Country:US
Mailing Address - Phone:402-937-8323
Mailing Address - Fax:402-937-8324
Practice Address - Street 1:3833 S 14TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-5340
Practice Address - Country:US
Practice Address - Phone:402-937-8323
Practice Address - Fax:402-937-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty