Provider Demographics
NPI:1194179812
Name:TLC COUNSELING PLLC
Entity Type:Organization
Organization Name:TLC COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-342-8950
Mailing Address - Street 1:133 KEYBRIDGE DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5915
Mailing Address - Country:US
Mailing Address - Phone:919-342-8950
Mailing Address - Fax:919-867-2999
Practice Address - Street 1:133 KEYBRIDGE DR
Practice Address - Street 2:SUITE G
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5915
Practice Address - Country:US
Practice Address - Phone:919-342-8950
Practice Address - Fax:919-867-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty