Walk in Wellness LLC

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

WALK IN WELLNESS LLC

Practice address

111 Epps St
Gordon, GA 31031-3805

Phone

(678) 437-1388

NPI assigned

Jun 26, 2024

Last updated

Jun 29, 2024By 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

Louise Clark-Dickes

Title

Business Development Officer

Phone

(973) 666-2926

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1740025246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON ST UNIT 383",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133604",
            "telephone_number": "973-666-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EPPS ST",
            "city": "GORDON",
            "state": "GA",
            "postal_code": "310313805",
            "telephone_number": "678-437-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "CLARK-DICKES",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "973-666-2926"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wilkinson Service Center
• Ashley Nicole Williams, FNP-BC

• Recovery Care Clinic/Center in Gordon, GA
• Providers in Gordon, GA by specialty
• Recovery Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.