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General NPI Number Information
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NPI Number | 1851887137
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Entity Type | Organization
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Legal Business Name | TLC COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 10451 CONCORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-8651
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Country | US
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Telephone | 302-841-4199
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Fax |
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Provider Business Mailing Address
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Address Line | 704 LINCOLN AVE
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City | DELMAR
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State | DE
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Zip | 19940-1344
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Country | US
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Telephone | 302-841-1065
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHELLE L CLARK
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Credential |
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Telephone | 302-841-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0000858
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License Number State | DE
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Taxonomy #2
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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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