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NPI Code Detail

MEDICARE: TLC THERAPY LLC

MEDICARE: TLC THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1275337891
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC THERAPY LLC
Provider Business Mailing Address
First Line : 625 CENTRAL AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-2168
Country : US
Telephone Number : 203-848-9417
Fax Number :
Provider Business Practice Location Address
First Line : 625 CENTRAL AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-2168
Country : US
Telephone Number : 203-848-9417
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAYLOR COLLINS
Credential : LCSW
Telephone Number : 203-848-9417
Provider Enumeration Date : 04/02/2025
Last Update Date : 04/02/2025

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Directions to “TLC THERAPY LLC ” Practice Location

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