| Tlc Cornerstone, Inc. | |
|
771 Jamacha Rd. #243 El Cajon CA 92019-3202 | |
| (619) 396-0367 | |
| Not Available |
| Full Name | Tlc Cornerstone, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 771 Jamacha Rd. #243, El Cajon, California |
| Authorized Official Name and Position | Tammy Lynn Carter (PRESIDENT) |
| Authorized Official Contact | 6193960367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Cornerstone, Inc. 771 Jamacha Rd # 243 El Cajon CA 92019-3202 Ph: (619) 396-0367 | Tlc Cornerstone, Inc. 771 Jamacha Rd. #243 El Cajon CA 92019-3202 Ph: (619) 396-0367 |
| NPI Number | 1043894157 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 04/06/2021 |
| Medicare PECOS PAC ID | 1951748870 |
|---|---|
| Medicare Enrollment ID | O20240327000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043894157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tammy Lynn Carter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770093577 PECOS PAC ID: 8123465044 Enrollment ID: I20240327000520 |
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