Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellspring Healthcare LLC

Organization Psychiatry Physician · NPI 1386134435

Wellspring Healthcare LLC provides Psychiatry Physician services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1415 Blanding St Ste 4
Columbia, SC 29201-2922
Phone: (803) 779-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 34709 (SC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 34709 (SC)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 34709 (SC)

Record details

NPI number1386134435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josneldavmatus Faiivae — Director · (803) 760-3306
Other names Wellspring Healthcare
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing addressPo Box 25271, Columbia, SC 29224-5271

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