| Wellsync Road To Recovery Services Llc | |
|
1453 Klondike Rd Sw Ste D Conyers GA 30094 | |
| (770) 679-4336 | |
| (888) 700-6924 |
| Full Name | Wellsync Road To Recovery Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1453 Klondike Rd Sw Ste D, Conyers, Georgia |
| Authorized Official Name and Position | Wanda Rainey-reed (OWNER) |
| Authorized Official Contact | 7706794336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsync Road To Recovery Services Llc 1226 Royal Dr Sw Ste Q Conyers GA 30094-5925 Ph: () - | Wellsync Road To Recovery Services Llc 1453 Klondike Rd Sw Ste D Conyers GA 30094 Ph: (770) 679-4336 |
| NPI Number | 1194173500 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 9032405774 |
|---|---|
| Medicare Enrollment ID | O20160907001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194173500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wanda Rainey Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225445208 PECOS PAC ID: 5496977787 Enrollment ID: I20141121001254 |
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