Provider Demographics
NPI:1962014936
Name:TJOCELYNE COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:TJOCELYNE COUNSELING & CONSULTING LLC
Other - Org Name:TJOCELYNE COUNSELING & CONSULTING GROUP LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARISTILDE-CALIXTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:774-269-2459
Mailing Address - Street 1:425 PLEASANT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2533
Mailing Address - Country:US
Mailing Address - Phone:508-580-0364
Mailing Address - Fax:888-506-6021
Practice Address - Street 1:425 PLEASANT ST STE 102
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2533
Practice Address - Country:US
Practice Address - Phone:508-580-0364
Practice Address - Fax:888-506-6021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty