Tri-County Life Skills Centers LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH 5146 Issued in FL

Legal business name

TRI-COUNTY LIFE SKILLS CENTERS LLC

Practice address

12543 Tamiami TRL S
North Port, FL 34287-1446

Phone

(941) 268-0020

Fax

(941) 429-3778

NPI assigned

Apr 28, 2013

Organization subpart

No

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

Authorized official

Name

Thomas G Glaza, LMHC

Title

Owner

Phone

(941) 268-0020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367107200000",
    "number": "1821432279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-268-0020",
            "fax_number": "941-429-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-268-0020",
            "fax_number": "941-429-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY LIFE SKILLS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-04-28",
        "status": "A",
        "authorized_official_last_name": "GLAZA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-268-0020",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 5146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Pharmacy Inc
• Tracy'S Home Care Inc
• Steven Tran, PHARMD
• Exabrena Tresalus, RBT
• Tri-County Counseling & Life Skills Center
• Rachael Trippett, LMHC
• Betty Trought
• Libian Trujillo Flores, APRN
• Aubry Trujillo-Vargas
• Timmy Truong, D.P.M.

• Community/Behavioral Health Agency in North Port, FL
• Providers in North Port, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2013; 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.