WELLNESS AND TRAUMA RECOVERY CENTER


Address: 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094
Phone: 6783577789

WELLNESS AND TRAUMA RECOVERY CENTER (NPI# 1730571399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730571399
Entity Type Organization
Organization Name WELLNESS AND TRAUMA RECOVERY CENTER
Practice Address 1775 Parker Rd. Building C, Suite 210
Conyers
GA 30094
Practice Telephone 6783577789
Mailing Telephone 6783577789
Enumeration Date 2015-02-19
Last Update Date 2015-02-19
Authorized Official Name TANYA TOYER (CEO/THERAPIST)
Authorized Official Telephone 6783577789
Authorized Official Credential LPC,NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
007014 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003156116A 05

Office Location

Street Address 1775 PARKER RD. BUILDING C, SUITE 210
City CONYERS
State GA
Zip Code 30094

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1760870612 Michael Terrell Technician/Technologist 806 Cambridge Creek Dr, Conyers, GA 30094 2014-12-30
1538567466 Jennifer Angela Johnson Registered Nurse 2240 Wren Rd Se, Conyers, GA 30094 2014-12-09
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1720219660 Candace Alexander Dentist 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 2009-07-27
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1588286827 Christopher James Mcclendon Counselor 2514 Lennox Rd Se, Conyers, GA 30094-2028 2020-05-09
1962038240 Tricia Daniels Counselor 1175 Green Street, Se, Conyers, GA 30012-3001 2020-03-18
1043855836 Maurvet Minto Counselor 1175 Green St, Conyers, Conyers, GA 30012 2019-11-15
1477044311 Camille Antoinett Colson Counselor 2890 Georgia Highway 212 Sw Ste A-319, Conyers, GA 30094-3363 2018-05-27
1811493497 Tiffany Jones Counselor 922 Court St Ne Ofc 103, Conyers, GA 30012-4540 2018-04-03
1841791944 Vipp Counseling Services, LLC Counselor 903 Commercial St Ne Ste 203, Conyers, GA 30012-4553 2018-02-23
1619476330 Keinetha Camille Powers Counselor 1396 Travers Creek Trl, Conyers, GA 30012-3584 2018-02-08
1831648468 Teresa Anderson Counselor 1414 Steam Engine Way Ne, Conyers, GA 30013-1594 2016-09-23
1497108328 Tamika Hibbert Counselor 1825 Regents Way, Conyers, GA 30094-3390 2016-07-15
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Competitor

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City CONYERS
Zip Code 30094

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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