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TERRA HUMPHREY CACII
NPI 1497170716
Counselor - Addiction (Substance Use Disorder) in Conyers, GA

Active since February 24, 2014
1990 OLD PARKER RD SE, SUITE 100, CONYERS, GA 30094(678) 374-2959(404) 975-4376 Get Directions Write a Review

NPPES record last updated: February 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terra Humphrey Cacii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRA HUMPHREY CACII (NPI 1497170716) is an individual addiction (substance use disorder) provider in Conyers, Georgia and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1497170716
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERRA HUMPHREYCredential: CACII
Location Address1990 OLD PARKER RD SE, SUITE 100Conyers, GA 30094-6239
Mailing Address1990 Old Parker Rd Se, Suite 100Conyers, GA 30094-6239 · (678) 374-2959 · Fax (404) 975-4376
Phone(678) 374-2959
Fax(404) 975-4376
Sole ProprietorNo
Enumeration DateFebruary 24, 2014
✔ NPI 1497170716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1990 OLD PARKER RD SE, Conyers, GA 30094
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ROSELANDE EMMANUEL NP
Nurse Practitioner (Family)
1990 OLD PARKER RD SE
CONYERS, GA 30094
Rockdale County (678) 374-2959
PLATINUM WELLNESS RETREAT & SPA
Emergency Medicine (Undersea and Hyperbaric Medicine)
1990 OLD PARKER RD SE
CONYERS, GA 30094
Rockdale County (404) 710-7133
JOSE DELACRUZ CADC-II
Counselor (Addiction (Substance Use Disorder))
1990 OLD PARKER RD SE, SUITE 100
CONYERS, GA 30094
Rockdale County (678) 913-3255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terra Humphrey's NPI number?

The NPI number for Terra Humphrey is 1497170716. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Terra Humphrey located?

Terra Humphrey practices at 1990 Old Parker Rd SE Suite 100, Conyers, GA 30094. The listed phone number is (678) 374-2959.

What is Terra Humphrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Terra Humphrey was last updated on February 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.