Wellsync Road to Recovery Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLSYNC ROAD TO RECOVERY SERVICES LLC

Practice address

1453 Klondike Rd SW Ste D
Conyers, GA 30094

Phone

(770) 679-4336

Fax

(888) 700-6924

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Wanda Rainey-Reed, LCSW

Title

Owner

Phone

(770) 679-4336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1194173500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW",
            "address_2": "STE Q",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 KLONDIKE RD SW STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-679-4336",
            "fax_number": "888-700-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSYNC ROAD TO RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "RAINEY-REED",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-679-4336",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Conyers, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.