| Tlc Esates, Llc | |
|
104 Castle Dr Madison AL 35758-8674 | |
| (256) 468-7556 | |
| (256) 325-0733 |
| Full Name | Tlc Esates, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Castle Dr, Madison, Alabama |
| Authorized Official Name and Position | Jessina Amor Williams (OWNER) |
| Authorized Official Contact | 2564687556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Esates, Llc Po Box 872 Madison AL 35758-0872 Ph: (256) 468-7556 | Tlc Esates, Llc 104 Castle Dr Madison AL 35758-8674 Ph: (256) 468-7556 |
| NPI Number | 1427420850 |
|---|---|
| Provider Enumeration Date | 10/25/2015 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427420850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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