TLC FAMILY LIFE CENTER, LLC (NPI# 1851651426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851651426 |
| Entity Type | Organization |
| Organization Name | TLC FAMILY LIFE CENTER, LLC |
| Practice Address |
145b N Main St Jonesboro GA 30236-3568 |
| Practice Telephone | 4044928883 |
| Practice Fax Number | 4049071572 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | DISHECA SMITH (CEO) |
| Authorized Official Telephone | 4044928883 |
| Authorized Official Credential | LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC006491 | GA | Agencies |
| Street Address |
145B N MAIN ST |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523925 | Tarr Personal Care Home LLC. | Community/Behavioral Health | 1180 Mundys Mill Rd, Jonesboro, GA 30238-6038 | 2019-08-13 |
| 1548741713 | Chance of Change, Inc | Community/Behavioral Health | 1489 Mundys Mill Rd Ste 200, Jonesboro, GA 30238-6026 | 2018-08-27 |
| 1255874566 | Andrew J. Nelson, LLC | Community/Behavioral Health | 741 Barnesdale Dr, Jonesboro, GA 30236-1801 | 2016-11-18 |
| 1528513538 | Building A Strong Foundation Consultant Service LLC | Community/Behavioral Health | 7301 Howard Cir, Jonesboro, GA 30236-1940 | 2016-08-19 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1659712180 | Business Management Consulting,llc | Community/Behavioral Health | 2469 Mead Ct, Jonesboro, GA 30236-9209 | 2013-07-12 |
| 1568806412 | Sherman Support and Solutions, LLC | Community/Behavioral Health | 259 Arrowhead Blvd Ste C1, Jonesboro, GA 30236-1167 | 2013-04-23 |
| 1023371416 | Youth Generation Inc | Community/Behavioral Health | 525 Sunnyhill Dr, Jonesboro, GA 30238-4862 | 2012-06-20 |
| 1780957167 | Nu Beginnings | Community/Behavioral Health | 754 Chapman St, Jonesboro, GA 30238-5682 | 2012-02-16 |
| 1427352244 | Full Spectrum Counseling Services LLC | Community/Behavioral Health | 9450 Deer Crossing Trce, Jonesboro, GA 30236-8025 | 2011-01-08 |
| Find all providers in JONESBORO | ||||
Please comment or provide details below to improve the information on TLC FAMILY LIFE CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.