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

Last updated

May 15, 2018By the provider in NPPES

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, LCSWNPI 1225445208

Title

Owner

Phone

(770) 679-4336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wanda Marcella Rainey-Reed, LCSW

  • Clinical Social Worker
  • Conyers, GA
  • NPI 1225445208
  Authorized official Same address or phone

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
• Providers in Conyers, GA by specialty
• Clinical Social Worker in Georgia

• 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.