| Tlc Therapeutic Services, Llc | |
|
301 E Genesee Ave Saginaw MI 48607-1242 | |
| (989) 332-8052 | |
| Not Available |
| Full Name | Tlc Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 301 E Genesee Ave, Saginaw, Michigan |
| Authorized Official Name and Position | Doris Tellis (BUSINESS OWNER/CEO) |
| Authorized Official Contact | 9893328052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Therapeutic Services, Llc Po Box 3743 Saginaw MI 48605-3743 Ph: (989) 332-8052 | Tlc Therapeutic Services, Llc 301 E Genesee Ave Saginaw MI 48607-1242 Ph: (989) 332-8052 |
| NPI Number | 1720610777 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Medicare PECOS PAC ID | 5597196279 |
|---|---|
| Medicare Enrollment ID | O20200513001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720610777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Doris Tellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487194551 PECOS PAC ID: 3375886203 Enrollment ID: I20190516002432 |
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