Tlc Transitions Life Center LLC

NPI #1447772769 in Kokomo, Indiana

Provider Information

NPI Number: 1447772769
Entity Type: Organization
Organization Name: Tlc Transitions Life Center LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 7, 2017
Last Updated: Jul 7, 2017

Practice Location

Address: 3224 S LAFOUNTAIN ST STE B
City: Kokomo
State: Indiana
ZIP Code: 46902-3714
Phone: (417) 838-3490

Authorized Official

Name: DR. MARY CHRISTINE MAHANA, PSY.D., HSPP
Title: CLINICAL PSYCHOLOGIST
Phone: (417) 838-3490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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