1790819423 NPI number — TOUCHSTONE MENTAL HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790819423 NPI number — TOUCHSTONE MENTAL HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUCHSTONE MENTAL HEALTH
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:
1790819423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2312 SNELLING AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55404-3230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-767-2162
Provider Business Mailing Address Fax Number:
612-874-0157

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
617 LOWRY AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55411-2000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-874-6409
Provider Business Practice Location Address Fax Number:
612-874-0157
Provider Enumeration Date:
03/15/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILKE
Authorized Official First Name:
SARAH
Authorized Official Middle Name:
Authorized Official Title or Position:
ACCOUNTING & BILLING SPECIALIST
Authorized Official Telephone Number:
612-314-1151

Provider Taxonomy Codes

  • Taxonomy code: 3104A0625X , with the licence number:  12567 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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