Provider Demographics
NPI:1407240047
Name:INTOUCH OF CARE
Entity Type:Organization
Organization Name:INTOUCH OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAVETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-904-2966
Mailing Address - Street 1:PO BOX 3619
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27515-3619
Mailing Address - Country:US
Mailing Address - Phone:919-904-2966
Mailing Address - Fax:888-965-9951
Practice Address - Street 1:2905 SKYBROOK LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5978
Practice Address - Country:US
Practice Address - Phone:919-904-2966
Practice Address - Fax:888-965-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700466101Y00000X, 101YA0400X, 103T00000X, 103TA0400X, 103TC2200X, 251B00000X, 251S00000X, 261QR0405X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty