# TLS & ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073194163
- **Authorized official:** MR. FREDERICK MARVIN TERRY (CEO)
- **Authorized official phone:** (601) 942-7689

## Contact information

- **Practice address:** 2135 HENRY HILL DR STE 200, JACKSON, MS 39204-2013
- **Practice address phone:** (601) 942-7689
- **Mailing address:** 2135 HENRY HILL DR STE 200, JACKSON, MS 39204-2013
- **Mailing address phone:** (601) 942-7689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021