Provider Demographics
NPI:1619737780
Name:TLG ASSOCIATES
Entity Type:Organization
Organization Name:TLG ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:515-344-7343
Mailing Address - Street 1:4225 FLEUR DR STE 208
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-2325
Mailing Address - Country:US
Mailing Address - Phone:515-851-4913
Mailing Address - Fax:515-297-7551
Practice Address - Street 1:15848 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-8450
Practice Address - Country:US
Practice Address - Phone:515-344-7343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty