Tanya Lane Slater

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC011451-2015 Issued in FL

Practice address

13971 N Cleveland Ave Ste 9
North Fort Myers, FL 33903-4392

Phone

(239) 997-7770

Fax

(239) 997-7776

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLS Consulting, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Fort Myers, FL
  • NPI 1194376590
  NPD Authorized official

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1699326090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13971 N CLEVELAND AVE STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034392",
            "telephone_number": "239-997-7770",
            "fax_number": "239-997-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13971 N CLEVELAND AVE STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034392",
            "telephone_number": "239-997-7770",
            "fax_number": "239-997-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "TANYA",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "50516",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "121425",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "190",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC011451-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidekicks Home Care LLC
• Sidney H Christie, DMD
• Laura Ann Sieben, ARNP
• Rachel Sieg
• Aquilla Simmons, LCSW
• Jaritza Smith, ARNP
• Star Auto Shops LLC
• Kimberly Sue Stevens, LMHC
• Bradley R Strack, PHARM.D
• Drew Marie Strong

• Addiction (Substance Use Disorder) Counselor in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.