Healthcare Provider Details

I. General information

NPI: 1962741462
Provider Name (Legal Business Name): TFI FAMILY CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 JACQUELYN LN STE 15
BARTLESVILLE OK
74006-7733
US

IV. Provider business mailing address

PO BOX 2224
EMPORIA KS
66801-2224
US

V. Phone/Fax

Practice location:
  • Phone: 620-342-2239
  • Fax: 620-342-0451
Mailing address:
  • Phone: 620-343-6111
  • Fax: 785-232-2833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberK860000352
License Number StateOK

VIII. Authorized Official

Name: CAROL DOLD HARRIS
Title or Position: CFO
Credential:
Phone: 620-208-1826