Organization Name: | TLC COUNSELING LLC |
NPI Number: | 1922498930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONJA L. CASCIATO (OWNER/THERAPIST) |
Mailing Address: | 316 Broadway St Suite #2 Thermopolis |
State: | WY US |
Postal Code: | 824432740 |
Phone Number: | 3078643211 |
Fax Number: | 3078643267 |
NPI Enumeration Date: | 01/28/2015 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCSW 660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |