Organization Active NPI

Reliant Wellness Center

  • Addiction (Substance Use Disorder) Counselor
  • Franklinton, NC
National Provider Identifier
1033692629
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RELIANT WELLNESS CENTER
Practice address
370 Long View Dr
Franklinton, NC 27525-6604
Phone
(704) 310-8942
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Leandra Salley, MSW
Title
Ceo
Phone
(704) 310-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

370 Long View Dr
Franklinton, NC 27525-6604

Mailing address

370 Long View Dr
Franklinton, NC 27525-6604
Phone (704) 310-8942

Other identifiers 1

IdentifierTypeStateIssuer
1952756959MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1033692629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LONG VIEW DR",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275256604",
            "telephone_number": "704-310-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LONG VIEW DR",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275256604",
            "telephone_number": "704-310-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "LEANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-310-8942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952756959",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.