1548181183 NPI number — THERAPY AND LEARNING CONCEPTS, LLC

Table of content: (NPI 1548181183)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548181183 NPI number — THERAPY AND LEARNING CONCEPTS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THERAPY AND LEARNING CONCEPTS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548181183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8805 135TH LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVE OAK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32060-6382
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-590-0086
Provider Business Mailing Address Fax Number:
386-590-0086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1506 OHIO AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVE OAK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32064-4545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-280-4814
Provider Business Practice Location Address Fax Number:
386-382-4361
Provider Enumeration Date:
07/21/2026

Additional Information

Authorized Official

Authorized Official Last Name:
CRUTCHFIELD
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
SCHOOL PSYCHOLOGIST/CEO
Authorized Official Telephone Number:
386-590-0086

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com