Organization Active NPI

TLC Family Life Center, LLC

  • Community/Behavioral Health Agency
  • Jonesboro, GA
National Provider Identifier
1851651426
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC006491 Issued in GA
Legal business name
TLC FAMILY LIFE CENTER, LLC
Practice address
145B N Main St
Jonesboro, GA 30236-3568
Phone
(404) 492-8883
Fax
(404) 907-1572
NPI assigned
May 16, 2012
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Disheca Smith, LPC, NCC
Title
Ceo
Phone
(404) 492-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC006491 GA Primary

Addresses

Primary practice location

145B N Main St
Jonesboro, GA 30236-3568

Mailing address

145B N Main St
Jonesboro, GA 30236-3568

National Provider Directory

National Provider Directory

Locations

145B N Main St
Jonesboro, GA 30236
Phone (404) 492-8883

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1851651426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145B N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145B N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363568",
            "telephone_number": "404-492-8883",
            "fax_number": "404-907-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY LIFE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DISHECA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-492-8883",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.