Provider Demographics
NPI:1134634827
Name:TOUCH ANGELS BEHAVIORAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:TOUCH ANGELS BEHAVIORAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-AKYEAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-616-0133
Mailing Address - Street 1:5045 S TATUM LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0511
Mailing Address - Country:US
Mailing Address - Phone:480-616-0133
Mailing Address - Fax:
Practice Address - Street 1:2018 W MORNING VISTA LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2725
Practice Address - Country:US
Practice Address - Phone:480-616-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCH ANGELS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-04
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1346640521Medicaid