TLC Early Learning and Play Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

TLC EARLY LEARNING AND PLAY CENTER

Practice address

1659 S Highway 65 82
Lake Village, AR 71653-1661

Phone

(870) 265-4191

Fax

(870) 265-5514

NPI assigned

Jan 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Corey Jermaine Sykes

Title

Director

Phone

(870) 265-4191

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith Fava

  • Speech-Language Pathologist
  • Lake Village, AR
  • NPI 1477924041
  NPD (past)
• Willie Lloyd

  • Specialist
  • Lake Village, AR
  • NPI 1093123010
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389484800000",
    "number": "1326460254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 S HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531661",
            "telephone_number": "870-265-4191",
            "fax_number": "870-265-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 S HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531661",
            "telephone_number": "870-265-4191",
            "fax_number": "870-265-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC EARLY LEARNING AND PLAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-265-4191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Stover, COTA
• Janet Stuart
• Viviana Suarez, M.D.
• Eva Jean Sykes, D.T.
• The Functional Pharmacist Inc
• Robenette Toney
• Theerasak Tuangsithtanon, M.D.
• Holly Wade, SLP
• Lisa Jane Wagoner, MHPP
• Jessica Ann Walthall, OT-A

• Early Intervention Provider Agency in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Early Intervention Provider Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.