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TLC CHILD AND FAMILY SERVICES NPI 1639226814


NPI Information

NPI: 1639226814
Provider Name: TLC CHILD AND FAMILY SERVICES

Former Legal Business Name: TLC CHILD AND FAMILY SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1800 GRAVENSTEIN HWY N
BLDG A - E
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7300
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TLC CHILD AND FAMILY SERVICES is an adolescent and children mental health clinic center in Sebastopol, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. TLC CHILD AND FAMILY SERVICES NPI is 1639226814. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tlc Child And Family Services.

The provider's business location address is:

1800 GRAVENSTEIN HWY N
BLDG A - E
SEBASTOPOL, CA
ZIP 95472-607
Phone: (707) 823-7300
Fax: (707) 823-3410

The provider's authorized official is Susan Fette .
The authorized official title is Ceo and has the following contact phone number (707) 634-9932.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 3/3/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 5/5/2024

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