Organization
TLS CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LANE SLATER MCAP, CMHP, ICRC-ADC (MANAGING DIRECTOR)
(239) 997-7770
Entity
Organization
Contact information
Practice address
13971 N. CLEVELAND AVENUE #9, NORTH FORT MYERS, FL 33903
(239) 997-7770
(239) 997-7776
Mailing address
13971 N. CLEVELAND AVENUE #9, NORTH FORT MYERS, FL 33903
(239) 997-7770
(239) 997-7776
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LIC-1045955
SUBSTANCE ABUSE SERVICES PROVIDER LICENSE
FL
Enumeration date
09/26/2019
Last updated
09/26/2019
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