NPIMap

Organization Active NPI

Synergetic Healings LLC

  • Clinical Social Worker
  • Gray, GA
National Provider Identifier
1831967884
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYNERGETIC HEALINGS LLC
Practice address
183 W Clinton St
Gray, GA 31032-5301
Phone
(478) 216-7378
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Authorized official

Name
Dania Collis, LCSW
Title
Sole Member
Phone
(478) 216-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

183 W Clinton St
Gray, GA 31032-5301

Mailing address

4007 Justin Way
Macon, GA 31204-1476
Phone (478) 216-7378

Other practice location 1

610 3rd St Ste 202
Macon, GA 31201-3262
Phone (478) 216-7378

Other identifiers 1

IdentifierTypeStateIssuer
1457085441OtherGANPPES

National Provider Directory

National Provider Directory

Locations

610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743897600000",
    "number": "1831967884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JUSTIN WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041476",
            "telephone_number": "478-216-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W CLINTON ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325301",
            "telephone_number": "478-216-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 3rd St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312013262",
            "country_code": "US",
            "telephone_number": "478-216-7378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGETIC HEALINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "COLLIS",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "478-216-7378",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1457085441",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.