Leadership Company LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I.0800047 Issued in OH

Legal business name

LEADERSHIP COMPANY LLC

Doing business as

TLC Center for Psychotherapy

Practice address

29525 Chagrin Blvd.
310
Pepper Pike, OH 44124

Phone

(216) 292-2020

Fax

(216) 292-2020

NPI assigned

Feb 17, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Cowan-Gascoigne, LISW-SNPI 1508198060

Title

President

Phone

(440) 729-1550

Specialties & licenses 1

Addresses

Other names 1

• TLC Center for Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Cowan-Gascoigne, LISW-S

  • Clinical Social Worker
  • Pepper Pike, OH
  • NPI 1508198060
  Authorized official Same address or phone

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1598087645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 SANDGATE DR",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262319",
            "telephone_number": "440-729-1550",
            "fax_number": "440-729-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CHAGRIN BLVD.",
            "address_2": "310",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "216-292-2020",
            "fax_number": "216-292-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADERSHIP COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "COWAN-GASCOIGNE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "14407291550",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I.0800047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Center for Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn McGlynn Kozelj, LPC
• Brian Kravitz
• Cari Anne Kuhl, LSW
• Gary T Kutsko, D.D.S.
• Jacquella Marie Lattimore, SWT
• Jonathan B Leizman, M.D.
• Dawn M Leko, RN
• Tara A Lemasters, LPC
• Jenna Lemay
• Melissia M Leonard, LISW-S

• Community/Behavioral Health Agency in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.