| Tlc, Inc. | |
|
1603 Central Ave Hot Springs AR 71901-6117 | |
| (501) 627-2555 | |
| (501) 321-2884 |
| Full Name | Tlc, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1603 Central Ave, Hot Springs, Arkansas |
| Authorized Official Name and Position | Tiffany L. Corjay (PRESIDENT) |
| Authorized Official Contact | 5016272555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc, Inc. 1603 Central Ave Hot Springs AR 71901-6117 Ph: (501) 627-2555 | Tlc, Inc. 1603 Central Ave Hot Springs AR 71901-6117 Ph: (501) 627-2555 |
| NPI Number | 1750544102 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 05/27/2014 |
| Medicare PECOS PAC ID | 6507087061 |
|---|---|
| Medicare Enrollment ID | O20141027000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750544102 | NPI | - | NPPES |
| 5X614 | Other | AR | MEDICARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1813-C (Arkansas) | Primary |
| Provider Name | Tiffany Leigh Corjay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043309800 PECOS PAC ID: 7113910506 Enrollment ID: I20040402001399 |
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