Provider Demographics
NPI:1972652931
Name:TLC EXCEPTIONAL SERVICES, INC.
Entity Type:Organization
Organization Name:TLC EXCEPTIONAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:HARROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-465-6804
Mailing Address - Street 1:126 W MONTEREY ST STE C
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-6363
Mailing Address - Country:US
Mailing Address - Phone:903-465-6804
Mailing Address - Fax:903-465-6802
Practice Address - Street 1:126 W MONTEREY ST STE C
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-6363
Practice Address - Country:US
Practice Address - Phone:903-465-6804
Practice Address - Fax:903-465-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health