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PROGRESSIONS TLC LLC NPI 1689916827


NPI Information

NPI: 1689916827
Provider Name: PROGRESSIONS TLC LLC

Former Legal Business Name: PROGRESSIONS TLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
5510 WILBUR AVE
TARZANA, CA
ZIP 91356
Phone: (818) 324-2507
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PROGRESSIONS TLC LLC is a substance abuse rehabilitation facility in Tarzana, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PROGRESSIONS TLC LLC NPI is 1689916827. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Progressions Tlc.

The provider's business location address is:

5510 WILBUR AVE
TARZANA, CA
ZIP 91356-219
Phone: (818) 324-2507
Fax: (888) 310-3278

The provider's authorized official is Rhonda Lee Kirkpatrick .
The authorized official title is Executive Director and has the following contact phone number (818) 324-2507.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)190768APCALIFORNIANo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder190768APCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility190768APCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1190768APOTHERCALIFORNIACALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE AND CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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