Tjal Enterprises Inc.

Primary specialty

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

Legal business name

TJAL ENTERPRISES INC.

Doing business as

Santa Rosa Beach Counseling

Practice address

1131E Mack Bayou Rd
Santa Rosa Beach, FL 32459-3113

Phone

(850) 601-1117

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Jean Lestourgeon, LMHC

Title

Owner

Phone

(321) 720-8878

Specialties & licenses 1

Addresses

Other names 1

• Santa Rosa Beach Counseling Doing business as

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1740745470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DELBERT LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593678",
            "telephone_number": "321-720-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131E MACK BAYOU RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593113",
            "telephone_number": "850-601-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJAL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "LESTOURGEON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-720-8878",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Beach Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Reach Institute of North West Florida
• Scott Patrick Thurston, DC
• Brett R Tidwell, DO
• Crystal C Tidwell, DO
• Natalie Yazdani Tidwell, M.D.
• TMJ & Sleep Center LLC
• Cynthia C Townsend, ARNP, FNP-BC
• Ashley Alaine Trahan, PT, DPT
• Lauren Elizabeth Trapp, R.D., L.D.
• Gale Timothy Tuper Jr., MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.