Organization Active NPI

Tyrone Hurst Cac

  • Addiction (Substance Use Disorder) Counselor
  • East Point, GA
National Provider Identifier
1750728457
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1952 Issued in GA
Legal business name
TYRONE HURST CAC
Practice address
2020 Dewberry LN
East Point, GA 30344-1136
Phone
(404) 993-2601
Fax
(855) 420-5792
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mr. Tyrone L Hurst, CAC
Title
Certified Addiction Counselor
Phone
(404) 993-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1952 GA Primary

Addresses

Primary practice location

2020 Dewberry LN
East Point, GA 30344-1136

Mailing address

2020 Dewberry LN
East Point, GA 30344
Phone (404) 993-2601

Other names 1

  • Counseling Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1750728457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 DEWBERRY LN",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-993-2601",
            "fax_number": "855-420-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DEWBERRY LN",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303441136",
            "telephone_number": "404-993-2601",
            "fax_number": "855-420-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE HURST CAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "404-993-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.