1972668127 NPI number — TOUCH OF HEALING COUNSELING SERVICES

Table of content: (NPI 1972668127)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972668127 NPI number — TOUCH OF HEALING COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUCH OF HEALING COUNSELING SERVICES
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:
FIRST ASSEMBLY OF GOD, INC.
Provider Other Organization Name Type Code:
5
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:
1972668127
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 W COLLEGE ST STE D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRIFFIN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30224-4249
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-688-3133
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 W COLLEGE ST STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRIFFIN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30224-4249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-688-3133
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAWLINGS
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
678-688-3133

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LPC002249 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1043459530 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1588953905 . This is a "OTHER INSURANCES - NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1801229067 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1013591270 . This is a "NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1679930614 . This is a "OTHER INSURANCES- NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1285641621 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043459530 . This is a "OTHER INSURANCES- NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1598395618 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1588953905 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1801229067 . This is a "OTHER INSURANCES- NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1598395618 . This is a "OTHER INSURANCES- NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1679930614 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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