DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TLC CHILD AND FAMILY SERVICES

MEDICARE: TLC CHILD AND FAMILY SERVICES
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1639226814
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC CHILD AND FAMILY SERVICES
Provider Business Mailing Address
First Line : 1800 GRAVENSTEIN HWY N
Second Line : SUITE A
City : SEBASTOPOL
State : CA
Zip : 95472-2607
Country : US
Telephone Number : 707-823-7300
Fax Number : 707-823-3410
Provider Business Practice Location Address
First Line : 1800 GRAVENSTEIN HWY N
Second Line : BLDG A - E
City : SEBASTOPOL
State : CA
Zip : 95472-2607
Country : US
Telephone Number : 707-823-7300
Fax Number : 707-823-3410
Authorized Official
Title or Position : CEO
Name : SUSAN FETTE
Credential : MFT
Telephone Number : 707-634-9932
Provider Enumeration Date : 01/03/2007
Last Update Date : 03/03/2021

Similar Medicare Providers

1295414951 — NICOLE MARIE MATOS
Practice Location Address:
1800 HWY 116 N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-823-7300
Practice Fax:
1033095005 — REEM ABU-BAKER LPC
Practice Location Address:
1800 HWY 116 N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-823-7300
Practice Fax:
1801940168 — SHARON KAHN
Practice Location Address:
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-823-7300
Practice Fax:
1770613341 — TERESA SMITH
Practice Location Address:
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-823-7300
Practice Fax:
1306962659 — JILL REES
Practice Location Address:
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-823-7300
Practice Fax:
1780700237 — JOHN CARPENTER SCHERER MFT
Practice Location Address:
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA
95472-2607
Practice Phone: 707-634-9952
Practice Fax:

Directions to “TLC CHILD AND FAMILY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.