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General NPI Number Information
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NPI Number | 1053855916
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Entity Type | Organization
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Legal Business Name | TLC SOULUTIONS, INC.
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2691 SYLVAN SHORES DR
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City | WATERFORD
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State | MI
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Zip | 48328-3936
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Country | US
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Telephone | 248-842-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 2691 SYLVAN SHORES DR
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City | WATERFORD
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State | MI
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Zip | 48328-3936
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Country | US
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Telephone | 248-842-0068
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Fax |
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Authorized Official
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Title or Position | LMSW
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Name | NANCY MAE NICHOLSON
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Credential | LMSW
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Telephone | 248-842-0068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 6801088993
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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