Wellspring of Life, LLC
NPI 1154700110ActiveOrganization· Counselor, Professional· Erie, PA
Counselor, Professional in Erie, Pennsylvania, registered in NPPES in May 2015. The authorized official on file is Patrick Damond, LPC, NCC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154700110 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2015 |
| Last updated in NPPES | Dec 20, 2019 |
| Certified by provider | Dec 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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