Pace Synervations LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PACE SYNERVATIONS LLC

Practice address

350 W Woodrow Wilson Ave Ste 3140
Jackson, MS 39213-7664

Phone

(769) 251-5751

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Latesha W Thomas, LCSW

Title

Ceo-Owner

Phone

(769) 251-5751

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1992419196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 3140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137664",
            "telephone_number": "769-251-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 3140",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137664",
            "telephone_number": "769-251-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE SYNERVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATESHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "769-251-5751",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Candler Owens, NP
• Tiffany Owens, MSCP, NCC, LPC
• Mary Ellen Owings
• Patricia A Oyarce, DPT
• Precious Chikezie Ozuomba
• Dawn Pace
• Drake Christian Pace, MD
• Gray Pace, PT
• Mariah Usry Pace
• Rachael Pace, MD

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.