Wide Range of Resources,Iinc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CSW000658 Issued in GA

Legal business name

WIDE RANGE OF RESOURCES,IINC.

Practice address

1776 N Jefferson St NE Ste B
Milledgeville, GA 31061-2292

Phone

(478) 451-3112

Fax

(478) 451-0626

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Frezalia L. Oliver, LCSWNPI 1336256270

Title

Clinical Director

Phone

(478) 451-3112

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Wide Range of Resources Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wide Range of Resources, Inc

  • Clinic/Center
  • Milledgeville, GA
  • NPI 1043459878
  NPD tax ID

Locations

Practitioners 1

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

• Frezalia Laverne Oliver, LCSW

  • Clinical Social Worker
  • Milledgeville, GA
  • NPI 1336256270
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1861680696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N JEFFERSON ST NE STE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612292",
            "telephone_number": "478-451-3112",
            "fax_number": "478-451-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N JEFFERSON ST NE STE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612292",
            "telephone_number": "478-451-3112",
            "fax_number": "478-451-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDE RANGE OF RESOURCES,IINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "FREZALIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "478-451-3112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "CSW000658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139858482A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139858482B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "GRP7368",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Noland White Jr., PHD
• Jordan Whitehead, PHARMD
• Madison L Whitehead
• Rebecca Catherine Whittle, LCSW
• Wide Range of Resources, Inc
• Catherine Taylor Wiggins, NP
• Penny E. Wiggins, NP-C
• Amanda H Williams, LPC
• Andrea Denise Williams, APRN
• Angela N Williams, RN

• Clinic/Center in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.