Organization
TLCPO LLC
Active
Other names
RecoveryTLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DANSIE (EXECUTIVE DIRECTOR)
(801) 892-9680
Entity
Organization
Contact information
Practice address
6975 UNION PARK AVENUE SUITE 600, COTTONWOOD HEIGHTS, UT 84047
(801) 892-9680
Mailing address
6975 UNION PARK AVENUE SUITE 600, COTTONWOOD HEIGHTS, UT 84047
(801) 892-9680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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