Tlc Transitions Life Center Llc | |
3224 S Lafountain St Ste B Kokomo IN 46902-3714 | |
(417) 838-3490 | |
Not Available |
Full Name | Tlc Transitions Life Center Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3224 S Lafountain St Ste B, Kokomo, Indiana |
Authorized Official Name and Position | Mary Christine Mahana (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 4178383490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tlc Transitions Life Center Llc 3224 S Lafountain St Ste B Kokomo IN 46902-3714 Ph: (417) 838-3490 | Tlc Transitions Life Center Llc 3224 S Lafountain St Ste B Kokomo IN 46902-3714 Ph: (417) 838-3490 |
NPI Number | 1447772769 |
---|---|
Provider Enumeration Date | 07/07/2017 |
Last Update Date | 07/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447772769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 20043022A (Indiana) | Primary |
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