Healthcare Provider Details

I. General information

NPI: 1851887137
Provider Name (Legal Business Name): TLC COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 01/22/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 CONCORD RD
SEAFORD DE
19973-8651
US

IV. Provider business mailing address

704 LINCOLN AVE
DELMAR DE
19940-1344
US

V. Phone/Fax

Practice location:
  • Phone: 302-841-4199
  • Fax:
Mailing address:
  • Phone: 302-841-1065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000858
License Number StateDE

VIII. Authorized Official

Name: RICHELLE L CLARK
Title or Position: CEO
Credential:
Phone: 302-841-1065