Mr. Tony Ray Beatty
Addiction Counselor (Substance Use Disorder)
429 Billingsley Rd
Charlotte
, North Carolina 28211-1007
Mr. Tony Ray Beatty
Addiction Counselor (Substance Use Disorder)
429 Billingsley Rd
Charlotte
, North Carolina 28211-1007
(704) 353-0390
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Tony Ray Beatty
- 3430 Wheatley Ave
- Charlotte, NC
- Zip : 28205-7654
- Fax : (704) 353-0390
- Phone : (704) 336-5622
Second Address
- Mr. Tony Ray Beatty
- 429 Billingsley Rd
- Charlotte, NC
- Zip : 28211-1007
- Fax : (704) 353-0390
- Phone : (704) 336-3067
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 318 | NC |
National Provider Identifier
| NPI | 1013009117 |
|---|---|
| Provider Name | Mr. Tony Ray Beatty |
| First Address | Charlotte, NC 28205-7654 |
| Second Address | Charlotte, NC 28211-1007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6110539 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.