TLC WELLNESS, LLC (NPI# 1821327123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821327123 |
| Entity Type | Organization |
| Organization Name | TLC WELLNESS, LLC |
| Other Organization Name | TLC WELLNESS |
| Practice Address |
105 W 8th Ave Suite 400 Spokane WA 99204-2302 |
| Mailing Address |
2226 W Courtland Ave Spokane WA 99205-2513 |
| Practice Telephone | 5098635618 |
| Practice Fax Number | 5094563557 |
| Mailing Telephone | 5098635618 |
| Mailing Fax Number | 5094565433 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | MRS. TORY LUCAS (OWNER) |
| Authorized Official Telephone | 5098635618 |
| Authorized Official Credential | RN, CCRN, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
RN00138240 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TLC Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | TLC Wellness, LLC | 101 N Main St, Unit 12, Breckenridge, CO 80424 |
| Street Address |
105 W 8TH AVE SUITE 400 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
| 1285191346 | Lauren A Earthman | Physician Assistant | 105 W 8th Ave, Spokane, WA 99204-2302 | 2019-02-25 |
| 1285104885 | Jonathan Carmen Panetta | Nurse Practitioner | 105 W 8th Ave, Spokane, WA 99204-2302 | 2018-11-27 |
| 1821516949 | Hayden Ingram | Pharmacist | 105 W 8th Ave, Spokane, WA 99204-2302 | 2017-09-08 |
| 1326573031 | Charlotte Lynch | Advanced Practice Midwife | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2017-05-01 |
| 1336698703 | Jocelyn Diana Christianson | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-09-27 |
| 1972057172 | Ashlee Nicole Bradshaw | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-08-05 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1871940809 | Elizabeth Killian | Counselor | 105 W 8th Ave, Ste.332, Spokane, WA 99204-2302 | 2016-05-19 |
| 1962860981 | Mahshid Aghasadeghi | Registered Nurse | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797791 | Women's Health Connection Ambulatory Surgery Center | Clinic/Center | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2009-05-04 |
| 1659553659 | Roger D. Fincher, M.d., P.s. | Clinic/Center | 801 W. 5th Avenue, Suite 525, Spokane, WA 99203-2842 | 2007-11-30 |
| 1932258522 | Gwyneth Blattau | Clinic/Center | 12519 N Division St, Suite 6, Spokane, WA 99218-1389 | 2007-01-10 |
| 1184083917 | William L. Brown, Md, Pllc | Clinic/Center | 906 W 2nd Ave, Ste 600, Spokane, WA 99201-4538 | 2016-02-22 |
| 1417240920 | M.a. Dewood, M.d.,p.s. | Clinic/Center | 901 N Monroe St, Suite 250, Spokane, WA 99201-2104 | 2011-05-17 |
| 1144406638 | Spokane Neurology Pllc | Clinic/Center | 12519 N Division St Ste 4, Spokane, WA 99218-1936 | 2008-01-14 |
| 1275661423 | Valerie Kay Logsdon | Clinic/Center | 315 W 9th Ave, Suite 200, Spokane, WA 99204-2501 | 2007-03-01 |
| 1730121047 | Northwest Cardiac and Vascular Imaging, LLC | Clinic/Center | 122 W 7th Ave, Suite 545, Spokane, WA 99204-2349 | 2006-06-12 |
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| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
| 1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.