Provider Demographics
NPI:1225356447
Name:TONYA COLLINSWORTH
Entity Type:Organization
Organization Name:TONYA COLLINSWORTH
Other - Org Name:TLC HCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-376-0301
Mailing Address - Street 1:426 COUNTY ROAD 243
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-7152
Mailing Address - Country:US
Mailing Address - Phone:713-376-0301
Mailing Address - Fax:979-849-3428
Practice Address - Street 1:933 E MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-5075
Practice Address - Country:US
Practice Address - Phone:713-376-0301
Practice Address - Fax:979-308-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health