TLC Transitions Life Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

20043022A Issued in IN

Legal business name

TLC TRANSITIONS LIFE CENTER LLC

Practice address

3224 S Lafountain St Ste B
Kokomo, IN 46902-3714

Phone

(417) 838-3490

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mary Christine Mahana, PSY.D., HSPP

Title

Clinical Psychologist

Phone

(417) 838-3490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1447772769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 S LAFOUNTAIN ST STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023714",
            "telephone_number": "417-838-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 S LAFOUNTAIN ST STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023714",
            "telephone_number": "417-838-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC TRANSITIONS LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "MAHANA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-838-3490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "20043022A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuradha Thumuluri, MD
• Laney Marie Thurston
• Brandon Kenneth Tiek, DDS
• Hunter Tierney, LMHC
• Devan Tyler Tilley
• Samantha Rae Tolley-Musall, FNP-C
• Trentyn Michael Toney, RBT
• Jane A Toor, M.A., C.C.C.-SLP
• Elizabeth Torres
• Total Image Systems of Indiana Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.