Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue State Wellness and Recovery

Organization Case Manager/Care Coordinator · NPI 1487111787

Blue State Wellness and Recovery is a Case Manager/Care Coordinator in Winston Salem, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
15
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Practice location Address checks out

1930 Legacy Park
Winston Salem, NC 27103-5838
Phone: (336) 287-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Home Health Agency Taxonomy 251E00000X
Public Health or Welfare Agency Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1487111787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Williams — Chairman/Member Manager · (336) 287-1395
NPI enumeratedFebruary 23, 2019
Last updated in NPPESFebruary 23, 2019
Mailing address1930 Legacy Park, Winston Salem, NC 27103-5838

Other providers in Winston Salem