Healthcare Provider Details

I. General information

NPI: 1821144593
Provider Name (Legal Business Name): TLC OPERATIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 CHAPPELL DR
RALEIGH NC
27606-3215
US

IV. Provider business mailing address

739 CHAPPELL DR
RALEIGH NC
27606-3215
US

V. Phone/Fax

Practice location:
  • Phone: 919-832-3909
  • Fax: 919-863-2021
Mailing address:
  • Phone: 919-832-3909
  • Fax: 919-863-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. HOLLY LEMIEUX
Title or Position: CEO
Credential:
Phone: 919-832-3909