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TLC/TRANSITIONAL LIVING COMMUNITIES NPI 1417223017


NPI Information

NPI: 1417223017
Provider Name: TLC/TRANSITIONAL LIVING COMMUNITIES

Other Name: TRANSITIONAL LIVING COMMUNITIES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2040538

Address:
32 S. MACDONALD STREET
MESA, AZ
ZIP 85210
Phone: (480) 833-0143
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TLC/TRANSITIONAL LIVING COMMUNITIES is a community behavioral health in Mesa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. TLC/TRANSITIONAL LIVING COMMUNITIES NPI is 1417223017. The provider is registered as an organization entity type.
The provider Other Name Is Transitional Living Communities.

The provider's business location address is:

32 S. MACDONALD STREET
MESA, AZ
ZIP 85210-310
Phone: (480) 833-0143
Fax: (480) 833-4266

The provider's authorized official is John Raymond Schwary .
The authorized official title is Chief Executive Officer and has the following contact phone number (602) 763-2138.

The CLIA number assigned to this NPI record is 03D2040538 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 3/28/2012.


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
1251S00000XCommunity/Behavioral HealthBH-3987ARIZONAYes

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: 11/14/2023

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