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General NPI Number Information
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NPI Number | 1174486757
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Entity Type | Organization
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Legal Business Name | TLC BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1728 S CARSON AVE
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City | TULSA
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State | OK
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Zip | 74119-4610
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Country | US
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Telephone | 918-936-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 7516 S 88TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-3125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JIM LOVETT
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Credential | LPC
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Telephone | 678-882-2916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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