Active NPI
Tyrone Hurst Cac
- Addiction (Substance Use Disorder) Counselor
- East Point, GA
National Provider Identifier
1750728457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1952
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
National Provider Directory
National Provider DirectoryNPI 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.