Provider Demographics
NPI:1073066528
Name:TOUCHSTONE THERAPY CONCEPTS OF MONMOUTH COUNTY LLC
Entity Type:Organization
Organization Name:TOUCHSTONE THERAPY CONCEPTS OF MONMOUTH COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-616-1775
Mailing Address - Street 1:1204 BOND ST
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5937
Mailing Address - Country:US
Mailing Address - Phone:732-616-1775
Mailing Address - Fax:
Practice Address - Street 1:1204 BOND ST
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-5937
Practice Address - Country:US
Practice Address - Phone:732-616-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04789400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health