| Tlc Transitions Life Center Llc | |
|
3224 S Lafountain St Ste B Kokomo IN 46902-3714 | |
| (417) 838-3490 | |
| Not Available |
| Full Name | Tlc Transitions Life Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3224 S Lafountain St Ste B, Kokomo, Indiana |
| Authorized Official Name and Position | Mary Christine Mahana (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4178383490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Transitions Life Center Llc 3224 S Lafountain St Ste B Kokomo IN 46902-3714 Ph: (417) 838-3490 | Tlc Transitions Life Center Llc 3224 S Lafountain St Ste B Kokomo IN 46902-3714 Ph: (417) 838-3490 |
| NPI Number | 1447772769 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447772769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 20043022A (Indiana) | Primary |
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