Provider Demographics
NPI:1497156707
Name:TJOCELYNE COUNSELING & CONSULTING LLC.
Entity Type:Organization
Organization Name:TJOCELYNE COUNSELING & CONSULTING LLC.
Other - Org Name:TAMARRA ARISTILDE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARISTILDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, NCC
Authorized Official - Phone:774-269-2459
Mailing Address - Street 1:PO BOX 405
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02303-0405
Mailing Address - Country:US
Mailing Address - Phone:774-269-2459
Mailing Address - Fax:508-559-1304
Practice Address - Street 1:484 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2535
Practice Address - Country:US
Practice Address - Phone:774-269-2459
Practice Address - Fax:508-559-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-07
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty