MEDICARE: TCS GROUP GLOBAL, 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1457913501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TCS GROUP GLOBAL, LLC

Provider Business Mailing Address
First Line	:	745 LAKE TRL
Second Line	:
City	:	AURORA
State	:	OH
Zip	:	44202-8478
Country	:	US
Telephone Number	:	713-873-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 LAKE TRL
Second Line	:
City	:	AURORA
State	:	OH
Zip	:	44202-8478
Country	:	US
Telephone Number	:	713-873-1166
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SHAUN A. MCCRAE
Credential	:	DC, PHD
Telephone Number	:	330-647-6644

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	06/28/2019

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