Provider Demographics
NPI:1598087645
Name:LEADERSHIP COMPANY LLC
Entity Type:Organization
Organization Name:LEADERSHIP COMPANY LLC
Other - Org Name:TLC CENTER FOR PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:COWAN-GASCOIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:1440-729-1550
Mailing Address - Street 1:11905 SANDGATE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2319
Mailing Address - Country:US
Mailing Address - Phone:440-729-1550
Mailing Address - Fax:440-729-0948
Practice Address - Street 1:29525 CHAGRIN BLVD.
Practice Address - Street 2:310
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:216-292-2020
Practice Address - Fax:216-292-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0800047251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health