Substance Abuse Treatment of Seminole County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

DCF 1859AD523601 Issued in FL

Legal business name

SUBSTANCE ABUSE TREATMENT OF SEMINOLE COUNTY

Practice address

2640 Hiawatha Ave
Suite E
Sanford, FL 32773-5342

Phone

(407) 330-7373

NPI assigned

Apr 28, 2014

Organization subpart

Yes

Parent organization

TYUS MINISTRIES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Tyrone Tyus, REV.

Title

Ceo/ Clinical Director

Phone

(386) 738-1473

Specialties & licenses 1

Addresses

Other names 1

• TYUS MINISTRIES, INC Doing business as

Part of

Substance Abuse Treatment of Seminole County

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1952721177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HIAWATHA AVE",
            "address_2": "SUITE E",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735342",
            "telephone_number": "407-330-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIAWATHA AVE",
            "address_2": "SUITE E",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735342",
            "telephone_number": "407-330-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE TREATMENT OF SEMINOLE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TYUS MINISTRIES, INC",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "TYUS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "CEO/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "386-738-1473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "DCF 1859AD523601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TYUS MINISTRIES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angeles Lasanta Stoy, RBT
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• Jennifer L Strobak, LCSW
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• Kinsey Drea Sucher
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• Tulio A Sulbaran, MD
• Carmen N Sullivan
• Michele Sullivan IV

• Community/Behavioral Health Agency in Sanford, FL
• Providers in Sanford, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.