Provider Demographics
NPI:1649875147
Name:DR. TCL COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:DR. TCL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:J.
Authorized Official - Middle Name:SHARON
Authorized Official - Last Name:DAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-789-0163
Mailing Address - Street 1:77 HOLSTONE LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1817
Mailing Address - Country:US
Mailing Address - Phone:609-789-0163
Mailing Address - Fax:973-536-1907
Practice Address - Street 1:77 HOLSTONE LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1817
Practice Address - Country:US
Practice Address - Phone:609-789-0163
Practice Address - Fax:973-536-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty