TLC Recovery, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

17-0990-00 Issued in WA

Legal business name

TLC RECOVERY, LLC

Practice address

19940 Ballinger Way NE
B1
Shoreline, WA 98155-1203

Phone

(206) 363-1992

Fax

(206) 362-7475

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Lee Jamison, CDP

Title

Director

Phone

(206) 363-1992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1992092688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65124",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981559124",
            "telephone_number": "206-363-1992",
            "fax_number": "206-362-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 BALLINGER WAY NE",
            "address_2": "B1",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551203",
            "telephone_number": "206-363-1992",
            "fax_number": "206-362-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-363-1992",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "17-0990-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.