Provider Demographics
NPI:1437401635
Name:LIFETOUCH MINISTRIES, INC.
Entity Type:Organization
Organization Name:LIFETOUCH MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-269-7990
Mailing Address - Street 1:2426 EAST PIERCETON ROAD
Mailing Address - Street 2:
Mailing Address - City:WINONA LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46590-5713
Mailing Address - Country:US
Mailing Address - Phone:574-269-7990
Mailing Address - Fax:574-269-7991
Practice Address - Street 1:2426 EAST PIERCETON ROAD
Practice Address - Street 2:
Practice Address - City:WINONA LAKE
Practice Address - State:IN
Practice Address - Zip Code:46590-5713
Practice Address - Country:US
Practice Address - Phone:574-269-7990
Practice Address - Fax:574-269-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty