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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
007014 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003156116A | 05 |
| Street Address |
1775 PARKER RD. BUILDING C, SUITE 210 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 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 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| 1134383565 | Eastern Health Center PC | General Practice | 1455 Old Mcdonough Hwy #c, Conyers, GA 30094 | 2008-07-15 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321665 | Dream 4 You Coaching and Counseling Services | Counselor | 1540 Highway 138 Se Ste 2k, Conyers, GA 30013-1297 | 2020-06-18 |
| 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 |
| Find all providers in CONYERS | ||||
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| 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.