Provider Demographics
NPI:1295077857
Name:TLC HEALTHCARE LLC
Entity type:Organization
Organization Name:TLC HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:615-973-7208
Mailing Address - Street 1:1001 THISTLE CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-9611
Mailing Address - Country:US
Mailing Address - Phone:615-973-7208
Mailing Address - Fax:
Practice Address - Street 1:430 LONG HOLLOW PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3488
Practice Address - Country:US
Practice Address - Phone:615-859-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006978261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service