Provider Demographics
NPI:1962741462
Name:TFI FAMILY CONNECTIONS LLC
Entity type:Organization
Organization Name:TFI FAMILY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLD HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-208-1826
Mailing Address - Street 1:PO BOX 2224
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2224
Mailing Address - Country:US
Mailing Address - Phone:620-343-6111
Mailing Address - Fax:785-232-2833
Practice Address - Street 1:5204 JACQUELYN LN
Practice Address - Street 2:STE 15
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7733
Practice Address - Country:US
Practice Address - Phone:620-342-2239
Practice Address - Fax:620-342-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 1041C0700X, 251K00000X, 251S00000X
OKK860000352253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care Agency
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200874980AMedicaid
OK200874980JMedicaid
OK200874980GMedicaid