TYRONE OLIVER V M.A
NPI 1083067003
Counselor - Professional in Austell, GA
Active since July 14, 2016
2777 JEFFERSON ST, SUITE 6 AND 8, AUSTELL, GA 30168(404) 840-5904(708) 613-9661 Get Directions Write a Review
About Tyrone Oliver V M.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRONE OLIVER V M.A (NPI 1083067003) is an individual professional provider in Austell, Georgia, licensed in Georgia (LPC004472) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1083067003
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYRONE OLIVER VCredential: M.A
Location Address2777 JEFFERSON ST, SUITE 6 AND 8Austell, GA 30168-4054
Mailing Address4665 Oakleigh Manor DrPowder Springs, GA 30127-4937 · (404) 840-5904 · Fax (708) 613-9661
Phone(404) 840-5904
Fax(708) 613-9661
Sole ProprietorYes
Enumeration DateJuly 14, 2016
✔ NPI 1083067003 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004472
2777 JEFFERSON ST, Austell, GA 30168
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
2777 JEFFERSON ST, SUITE 6 & 8
AUSTELL, GA 30168
AUSTELL, GA 30168
Social Worker (Clinical)
2777 JEFFERSON ST
AUSTELL, GA 30168
AUSTELL, GA 30168
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083067003, enumerated as an "individual" on July 14, 2016.
The provider is located at 2777 JEFFERSON ST SUITE 6 AND 8 AUSTELL, GA 30168 and the phone number is (404) 840-5904.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
