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Contact Information

WELLSYNC ROAD TO RECOVERY SERVICES LLC
1453 KLONDIKE RD SW STE D
CONYERS, GA30094
 Phone: 770-679-4336
 Fax: 888-700-6924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for WELLSYNC ROAD TO RECOVERY SERVICES LLC

NPI Number 1194173500
LBN Legal business name WELLSYNC ROAD TO RECOVERY SERVICES LLC
Authorized official WANDA RAINEY-REED - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2016
Last updated 05/15/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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