# TLC FAMILY THERAPY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Diego Medical Pain and Trama Institute, TLC Family Therapy Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629692397
- **Authorized official:** TRACEY LYNN CHESTER LMFT (FOUNDER/CLINICAL DIRECTOR)
- **Authorized official phone:** (858) 531-3795

## Contact information

- **Practice address:** 5405 MOREHOUSE DR STE 120, SAN DIEGO, CA 92121-4723
- **Practice address phone:** (442) 777-2040
- **Practice address fax:** (858) 408-4494
- **Mailing address:** 5965 VILLAGE WAY. SUITE 105 \#112, SAN DIEGO, CA 92130
- **Mailing address phone:** (442) 777-2040
- **Mailing address fax:** (858) 408-4494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2020
- **Last updated:** 05/25/2021