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TANGU PHASE II INC NPI 1699890640


NPI Information

NPI: 1699890640
Provider Name: TANGU PHASE II, INC

Other Name: TANGU, INC

Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 11D2054559

Address:
157 FORSYTH ST SW
ATLANTA, GA
ZIP 30303
Phone: (404) 523-4599
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TANGU PHASE II, INC is a counselor in Atlanta, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. TANGU PHASE II, INC NPI is 1699890640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Tangu, Inc.

The provider's business location address is:

157 FORSYTH ST SW
ATLANTA, GA
ZIP 30303-634
Phone: (404) 523-4599
Fax: (404) 586-0645

The provider's authorized official is Walter D Brooks .
The authorized official title is President, Ceo and has the following contact phone number (404) 523-4599.

The CLIA number assigned to this NPI record is 11D2054559 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorGEORGIAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)GEORGIAX
3101YM0800XCounselorMental HealthGEORGIAX
4101YP2500XCounselorProfessionalGEORGIAX
51041C0700XSocial WorkerClinicalGEORGIAX
6106H00000XMarriage & Family TherapistGEORGIAX
7261Q00000XClinic/CenterGEORGIAX
8261QM0850XClinic/CenterAdult Mental HealthGEORGIAX
9324500000XSubstance Abuse Rehabilitation FacilityGEORGIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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