TANGU PHASE II INC NPI 1699890640

NPI Information

NPI: 1699890640
Provider Name: TANGU PHASE II, INC
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Organization
:
CLIA Number: 11D2054559
Address: 157 FORSYTH ST SW
ATLANTA, GA
ZIP 30303
Phone: (404) 523-4599

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NPI Details

TANGU PHASE II, INC is a clinical social worker in Atlanta, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. TANGU PHASE II, INC NPI is 1699890640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

157 FORSYTH ST SW
ATLANTA, GA
ZIP 30303-634
Phone: (404) 523-4599
Fax: (404) 586-0645

The provider's authorized official is Walter D Brooks .
The authorized official title is President, Ceo and has the following contact phone number (404) 523-4599.

The CLIA number assigned to this NPI record is 11D2054559 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor		GEORGIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	GEORGIA	No
3	101YM0800X	Counselor	Mental Health	GEORGIA	No
4	101YP2500X	Counselor	Professional	GEORGIA	No
5	106H00000X	Marriage & Family Therapist		GEORGIA	No
6	261Q00000X	Clinic/Center		GEORGIA	No
7	261QM0850X	Clinic/Center	Adult Mental Health	GEORGIA	No
8	324500000X	Substance Abuse Rehabilitation Facility		GEORGIA	No
9	1041C0700X	Social Worker	Clinical	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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