NPIMap

Organization Active NPI

Goyahkla Peer Support Services L.L.C

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1134588833
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
V2015-1284-01 Issued in NC
Legal business name
GOYAHKLA PEER SUPPORT SERVICES L.L.C
Practice address
4224 Glenlea Commons Dr
Charlotte, NC 28216-9519
Phone
(704) 222-0633
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Troy Allen Hunt, PHD, CPSSNPI 1215395207
Title
Owner
Phone
(704) 222-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X V2015-1284-01 NC Primary

Addresses

Primary practice location

4224 Glenlea Commons Dr
Charlotte, NC 28216-9519

Mailing address

4224 Glenlea Commons Dr
Charlotte, NC 28216-9519
Phone (704) 222-0633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1134588833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 GLENLEA COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169519",
            "telephone_number": "704-222-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 GLENLEA COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169519",
            "telephone_number": "704-222-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOYAHKLA PEER SUPPORT SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-222-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "V2015-1284-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.