Restoring Wellness Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005212 Issued in GA

Legal business name

RESTORING WELLNESS COUNSELING

Practice address

1226 Royal Dr SW Ste E
Conyers, GA 30094-5926

Phone

(770) 568-9089

Fax

(770) 568-9089

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rose Marie Williams, LCSWNPI 1902283542

Title

Sole Proprietor

Phone

(770) 568-9089

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rose Marie Williams, LCSW

  • Clinical Social Worker
  • Conyers, GA
  • NPI 1902283542
  NPD Authorized official

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1932628518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 CHERRY HILL CT SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946273",
            "telephone_number": "770-568-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW STE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945926",
            "telephone_number": "770-568-9089",
            "fax_number": "770-568-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "770-568-9089",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Conyers, GA
• Providers in Conyers, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.