Wellness and Trauma Recovery Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007014 Issued in GA

Legal business name

WELLNESS AND TRAUMA RECOVERY CENTER

Practice address

1775 Parker Rd. Building C, Suite 210
Conyers, GA 30094

Phone

(678) 357-7789

NPI assigned

Feb 19, 2015

Last updated

Feb 19, 2015By 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

Tanya Toyer, LPC,NCC

Title

Ceo/Therapist

Phone

(678) 357-7789

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1730571399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD. BUILDING C, SUITE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "678-357-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD. BUILDING C, SUITE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "678-357-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND TRAUMA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "TOYER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "678-357-7789",
        "authorized_official_credential": "LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003156116A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.