Organization Active NPI

Wellness Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Uniontown, PA
National Provider Identifier
1679054183
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
267024 Issued in PA
Legal business name
WELLNESS RECOVERY LLC
Practice address
9-11 Veech St.
Uniontown, PA 15401
Phone
(724) 366-2815
Fax
(724) 626-4444
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Tyler Tracy, BS
Title
Director of Operations
Phone
(724) 366-2815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 267024 PA Primary

Addresses

Primary practice location

9-11 Veech St.
Uniontown, PA 15401

Mailing address

9-11 Veech St.
Uniontown, PA 15401
Phone (724) 366-2815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1679054183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-11 VEECH ST.",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-366-2815",
            "fax_number": "724-626-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-11 VEECH ST.",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-366-2815",
            "fax_number": "724-626-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "724-366-2815",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "267024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.