The Wow Workshop, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE WOW WORKSHOP, INC

Practice address

1108 Union Rd Ste C
Gastonia, NC 28054-6804

Phone

(786) 663-1195

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Martha Biviana GaviriaNPI 1528443090

Title

Founder

Phone

(786) 663-1195

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Gaviria

  • Case Manager/Care Coordinator
  • North Miami Beach, FL
  • NPI 1528443090
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1053184507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 UNION RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546804",
            "telephone_number": "786-663-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 UNION RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546804",
            "telephone_number": "786-663-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOW WORKSHOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "GAVIRIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "BIVIANA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "786-663-1195"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hand Center of the Carolinas, P.a.
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• The Right Direction LLC
• The Simple Life Services, Inc
• The Simple Life Services, Inc.
• Therapeutic Center for Change
• Therapeutic Support Services
• Therapsych Behavioral Health & Wellness, PLLC
• Colleen Lyn Thibaut, D.O.
• Steven David Thies, M.D.

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.