Organization Active NPI

Radically Human Therapy Solutions, LLC

  • Clinical Social Worker
  • Wray, GA
National Provider Identifier
1932075090
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RADICALLY HUMAN THERAPY SOLUTIONS, LLC
Practice address
426 Ernest Pridgen Rd
Wray, GA 31798-4420
Phone
(912) 737-0323
Fax
(912) 848-9576
NPI assigned
Oct 15, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Amanda Ellen Murphy-Smith, LCSWNPI 1235712134
Title
Registered Agent/Owner
Phone
(912) 297-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

426 Ernest Pridgen Rd
Wray, GA 31798-4420

Mailing address

426 Ernest Pridgen Rd
Wray, GA 31798-4420
Phone (912) 575-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217003755 GA Part B Supplier - Clinic/Group Practice 6709371735 Receives reassigned benefits from 1 practitioner
Practice locations: Wray, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1932075090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 ERNEST PRIDGEN RD",
            "city": "WRAY",
            "state": "GA",
            "postal_code": "317984420",
            "telephone_number": "912-575-5740",
            "fax_number": "912-848-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 ERNEST PRIDGEN RD",
            "city": "WRAY",
            "state": "GA",
            "postal_code": "317984420",
            "telephone_number": "912-737-0323",
            "fax_number": "912-848-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICALLY HUMAN THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY-SMITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "REGISTERED AGENT/OWNER",
        "authorized_official_telephone_number": "912-297-4224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wray, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.