Active NPI
TLC Family Life Center, LLC
- Community/Behavioral Health Agency
- Jonesboro, GA
National Provider Identifier
1851651426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC006491
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.