| Tls Consulting, Llc | |
|
13971 N. Cleveland Avenue #9 North Fort Myers FL 33903 | |
| (239) 997-7770 | |
| (239) 997-7776 |
| Full Name | Tls Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 13971 N. Cleveland Avenue #9, North Fort Myers, Florida |
| Authorized Official Name and Position | Tanya Lane Slater (MANAGING DIRECTOR) |
| Authorized Official Contact | 2399977770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tls Consulting, Llc 13971 N. Cleveland Avenue #9 North Fort Myers FL 33903 Ph: (239) 997-7770 | Tls Consulting, Llc 13971 N. Cleveland Avenue #9 North Fort Myers FL 33903 Ph: (239) 997-7770 |
| NPI Number | 1194376590 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194376590 | NPI | - | NPPES |
| LIC-1045955 | Other | FL | SUBSTANCE ABUSE SERVICES PROVIDER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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