Healthcare Provider Details

I. General information

NPI: 1588467971
Provider Name (Legal Business Name): TLB ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6452 MILLENNIUM STE 170
LANSING MI
48917-6874
US

IV. Provider business mailing address

6211 WINDCHARME AVE
LANSING MI
48917-1280
US

V. Phone/Fax

Practice location:
  • Phone: 517-323-4331
  • Fax:
Mailing address:
  • Phone: 517-881-9609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: WENDY Z BRADLEY
Title or Position: OWNER
Credential:
Phone: 517-881-9609