| Tlp Counseling & Therapy, Llc | |
|
11445 Bay Of Firth Blvd Fenton MI 48430-8743 | |
| (810) 610-3312 | |
| Not Available |
| Full Name | Tlp Counseling & Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11445 Bay Of Firth Blvd, Fenton, Michigan |
| Authorized Official Name and Position | Tara L Pauley (OWNER/CEO) |
| Authorized Official Contact | 8106103312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlp Counseling & Therapy, Llc 11445 Bay Of Firth Blvd Fenton MI 48430-8743 Ph: (810) 610-3312 | Tlp Counseling & Therapy, Llc 11445 Bay Of Firth Blvd Fenton MI 48430-8743 Ph: (810) 610-3312 |
| NPI Number | 1174222095 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 5597137661 |
|---|---|
| Medicare Enrollment ID | O20230218000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174222095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara L Pauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285084921 PECOS PAC ID: 1557653094 Enrollment ID: I20160701001507 |
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