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WELLSYNC ROAD TO RECOVERY SERVICES LLC NPI 1194173500


NPI Information

NPI: 1194173500
Provider Name: WELLSYNC ROAD TO RECOVERY SERVICES LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 11D2189817

Address:
1453 KLONDIKE RD SW STE D
CONYERS, GA
ZIP 30094
Phone: (770) 679-4336
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WELLSYNC ROAD TO RECOVERY SERVICES LLC is a clinical social worker in Conyers, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. WELLSYNC ROAD TO RECOVERY SERVICES LLC NPI is 1194173500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1453 KLONDIKE RD SW STE D
CONYERS, GA
ZIP 30094
Phone: (770) 679-4336
Fax: (888) 700-6924

The provider's authorized official is Wanda Rainey-reed .
The authorized official title is Owner and has the following contact phone number (770) 679-4336.

The CLIA number assigned to this NPI record is 11D2189817 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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