Provider Demographics
NPI:1124155742
Name:TLC COACHING & COUNSELING, INC
Entity type:Organization
Organization Name:TLC COACHING & COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CONNAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-929-4727
Mailing Address - Street 1:10972 LA SALINAS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1237
Mailing Address - Country:US
Mailing Address - Phone:561-929-4727
Mailing Address - Fax:561-482-8005
Practice Address - Street 1:7301 W PALMETTO PARK ROAD
Practice Address - Street 2:SUITE 250A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-6797
Practice Address - Country:US
Practice Address - Phone:561-929-4727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6098101YP2500X, 101YS0200X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty