Cynergy Wellness Group, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

CYNERGY WELLNESS GROUP, LLC

Practice address

150 Boland St # U303
Fort Worth, TX 76107-1203

Phone

(202) 258-4345

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Cynthia Powell

Title

Principal

Phone

(202) 258-4345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1588323323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BOLAND ST # U303",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071203",
            "telephone_number": "202-258-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BOLAND ST # U303",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071203",
            "telephone_number": "202-258-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNERGY WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "202-258-4345"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fort Worth, TX
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.