Healthcare Provider Details

I. General information

NPI: 1629830146
Provider Name (Legal Business Name): TLC COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 HILL RD N STE E
PICKERINGTON OH
43147-9972
US

IV. Provider business mailing address

1209 HILL RD N # 152
PICKERINGTON OH
43147-7008
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-0930
  • Fax:
Mailing address:
  • Phone: 614-805-0930
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRACI L COOKE
Title or Position: FOUNDER / OWNER
Credential: LPCC
Phone: 614-805-0930