Healthcare Provider Details

I. General information

NPI: 1548181183
Provider Name (Legal Business Name): THERAPY AND LEARNING CONCEPTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 OHIO AVE S
LIVE OAK FL
32064-4545
US

IV. Provider business mailing address

8805 135TH LOOP
LIVE OAK FL
32060-6382
US

V. Phone/Fax

Practice location:
  • Phone: 386-280-4814
  • Fax: 386-382-4361
Mailing address:
  • Phone: 386-590-0086
  • Fax: 386-590-0086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TRACY L CRUTCHFIELD
Title or Position: SCHOOL PSYCHOLOGIST/CEO
Credential: ED.D, NCSP
Phone: 386-590-0086