Organization Active NPI

TLC Counseling & Consulting Services LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1669024733
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 9, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841408606OtherINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.psyquel.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.