Provider Demographics
NPI:1457612673
Name:TLH COUNSELING LLC
Entity Type:Organization
Organization Name:TLH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HJELMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:651-270-1477
Mailing Address - Street 1:4886 HIGHWAY 61 N
Mailing Address - Street 2:SUITE L3
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-2857
Mailing Address - Country:US
Mailing Address - Phone:651-270-1477
Mailing Address - Fax:877-452-0692
Practice Address - Street 1:4886 HIGHWAY 61 N
Practice Address - Street 2:SUITE L3
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-2857
Practice Address - Country:US
Practice Address - Phone:651-270-1477
Practice Address - Fax:877-452-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1663106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty