Organization
TIFFANY L. CORJAY, INC.
Active
Other names
TLC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY L. CORJAY LCSW (PRESIDENT)
(501) 627-2555
Entity
Organization
Contact information
Practice address
1603 CENTRAL AVE, HOT SPRINGS, AR 71901-6117
(501) 627-2555
(501) 321-2884
Mailing address
1603 CENTRAL AVE, HOT SPRINGS, AR 71901-6117
(501) 627-2555
(501) 321-2884
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1813-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X614
MEDICARE PROVIDER #
AR
Enumeration date
07/07/2008
Last updated
05/27/2014
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