Providence Focused Solutions, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008675 Issued in NC

Legal business name

PROVIDENCE FOCUSED SOLUTIONS, PLLC

Practice address

5300 Six Forks Rd Ste 205
Raleigh, NC 27609-4465

Phone

(919) 795-4633

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Vanya C Reynolds, LCSW, LCASA

Title

Owner/ Therapist

Phone

(919) 795-4633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1841702214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 REDFORD PLACE DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SIX FORKS RD STE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094465",
            "telephone_number": "919-795-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE FOCUSED SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "VANYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "919-795-4633",
        "authorized_official_credential": "LCSW, LCASA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.