Organization · Type 2 NPI

Wellspring of Life Center, PLLC

Clinical Social Worker · Flower Mound, TX

NPI number 1124930466 Active

Practice location

1101 Surrey Ln, Building 200, Suite 17
Flower Mound, TX 75022

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124930466

Wellspring of Life Center, PLLC's National Provider Identifier is 1124930466, issued on Sep 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flower Mound, TX. The record was last updated on Sep 21, 2026.