Healthcare Provider Details
I. General information
NPI: 1922498930
Provider Name (Legal Business Name): TLC COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2015
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
316 BROADWAY ST SUITE #2
THERMOPOLIS WY
82443-2740
US
IV. Provider business mailing address
640 FREMONT ST
THERMOPOLIS WY
82443-2915
US
V. Phone/Fax
- Phone: 307-864-3211
- Fax: 307-864-3267
- Phone: 307-864-9382
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONJA
L.
CASCIATO
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 307-864-3211