Provider Demographics
NPI:1225805799
Name:TOUCHING LIVES CENTER, LLC
Entity Type:Organization
Organization Name:TOUCHING LIVES CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:POTTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:712-830-6654
Mailing Address - Street 1:442 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-3259
Mailing Address - Country:US
Mailing Address - Phone:712-830-6654
Mailing Address - Fax:
Practice Address - Street 1:515 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:IA
Practice Address - Zip Code:50025-1056
Practice Address - Country:US
Practice Address - Phone:712-563-5285
Practice Address - Fax:833-303-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health