Provider Demographics
NPI:1194376590
Name:TLS CONSULTING, LLC
Entity Type:Organization
Organization Name:TLS CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:MCAP, CMHP, ICRC-ADC
Authorized Official - Phone:239-997-7770
Mailing Address - Street 1:13971 N. CLEVELAND AVENUE #9
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903
Mailing Address - Country:US
Mailing Address - Phone:239-997-7770
Mailing Address - Fax:239-997-7776
Practice Address - Street 1:13971 N. CLEVELAND AVENUE #9
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903
Practice Address - Country:US
Practice Address - Phone:239-997-7770
Practice Address - Fax:239-997-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLLIC-1045955OtherSUBSTANCE ABUSE SERVICES PROVIDER LICENSE