Provider Demographics
NPI:1376129049
Name:TLC HEALTH & WELLNESS
Entity Type:Organization
Organization Name:TLC HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHUN
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-478-2056
Mailing Address - Street 1:13428 SWIFT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1946
Mailing Address - Country:US
Mailing Address - Phone:832-545-8115
Mailing Address - Fax:888-600-1317
Practice Address - Street 1:6200 SAVOY DR STE 1202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3397
Practice Address - Country:US
Practice Address - Phone:832-478-2056
Practice Address - Fax:888-600-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health