Provider Demographics
NPI:1114484755
Name:TCP COUNSELING & WELLNESS SERVICES
Entity Type:Organization
Organization Name:TCP COUNSELING & WELLNESS SERVICES
Other - Org Name:TCP MARRIAGE & FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:CANTU
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-834-5017
Mailing Address - Street 1:543 LEXINGTON PASS
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-3268
Mailing Address - Country:US
Mailing Address - Phone:210-834-5017
Mailing Address - Fax:
Practice Address - Street 1:543 LEXINGTON PASS
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:TX
Practice Address - Zip Code:78133-3268
Practice Address - Country:US
Practice Address - Phone:210-834-5017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty