Healthcare Provider Details

I. General information

NPI: 1245711373
Provider Name (Legal Business Name): TLCS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date: 03/20/2026
Reactivation Date: 07/29/2026

III. Provider practice location address

3737 MARCONI AVE
SACRAMENTO CA
95821
US

IV. Provider business mailing address

650 HOWE AVE # 400A
SACRAMENTO CA
95825-4731
US

V. Phone/Fax

Practice location:
  • Phone: 916-480-1801
  • Fax: 916-854-1809
Mailing address:
  • Phone: 916-441-0123
  • Fax: 916-441-6893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLYN SEPULVEDA
Title or Position: COO
Credential:
Phone: 916-441-0123