Organization Active NPI

Tangu, Inc

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
National Provider Identifier
1114042132
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TANGU, INC
Practice address
1820 Water PL SE Ste 250
Atlanta, GA 30339-2287
Phone
(404) 523-4599
Fax
(404) 586-0645
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter D Brooks, PH.D., SAPNPI 1669745675
Title
President, Ceo
Phone
(404) 697-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X GA
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X GA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X GA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X GA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X GA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X GA
Case Management Agency 251B00000X GA
Community/Behavioral Health Agency 251S00000X GA
Substance Abuse Rehabilitation Facility 324500000X GA
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1820 Water PL SE Ste 250
Atlanta, GA 30339-2287

Mailing address

227 Sandy Springs PL # D-298
Sandy Springs, GA 30328-5918
Phone (404) 697-7750

Other names 1

  • Tangu Phase II, Inc Other name

National Provider Directory

National Provider Directory

Locations

1820 Water Pl SE
Ste 160
Atlanta, GA 30339
Phone (404) 586-0645

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114042132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL # D-298",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-697-7750",
            "fax_number": "404-420-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WATER PL SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392287",
            "telephone_number": "404-523-4599",
            "fax_number": "404-586-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "404-697-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tangu Phase II, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tangu Phase II, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.