Active NPI
TLC Counseling & Consulting Services LLC
- Adult Mental Health Clinic/Center
- Atlanta, GA
National Provider Identifier
1669024733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- TLC COUNSELING & CONSULTING SERVICES LLC
- Practice address
- 5835 Campbellton Rd SW Ste 303
Atlanta, GA 30331-8014 - Phone
- (404) 422-9992
- Fax
- (404) 559-8755
- NPI assigned
- Jul 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tashika Holloway
- Title
- Owner
- Phone
- (404) 422-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
5835 Campbellton Rd SW Ste 303
Atlanta, GA 30331-8014
Mailing address
5835 Campbellton Rd SW Ste 303
Atlanta, GA 30331-8014
Phone (404) 422-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841408606 | Other | INDIVIDUAL NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.psyquel.com |
National Provider Directory
National Provider DirectoryLocations
5835 Campbellton Rd SW
Ste 303
Atlanta, GA 30331
Phone (404) 422-9992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1669024733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 CAMPBELLTON RD SW STE 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318014",
"telephone_number": "404-422-9992",
"fax_number": "404-559-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 CAMPBELLTON RD SW STE 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303318014",
"telephone_number": "404-422-9992",
"fax_number": "404-559-8755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC COUNSELING & CONSULTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "HOLLOWAY",
"authorized_official_first_name": "TASHIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-422-9992"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841408606",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.psyquel.com",
"affiliation": "N",
"address_1": "5835 Campbellton Rd SW Ste 303",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303318014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.