| Organization Name: | TOFBC, LLC |
| NPI Number: | 1881723773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKY LYNN GLASS (THERAPIST, MEMBER OF TOFBC, LLC) |
| Mailing Address: | 1000 Lake Saint Louis Blvd Suite 261 Lake Saint Louis |
| State: | MO US |
| Postal Code: | 633671340 |
| Phone Number: | 6365610268 |
| Fax Number: | 6366251580 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2001020554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |