Provider Demographics
NPI:1518639475
Name:FINETOUCH BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:FINETOUCH BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-861-5964
Mailing Address - Street 1:2021 W WASHINGTON ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-5271
Mailing Address - Country:US
Mailing Address - Phone:702-861-5964
Mailing Address - Fax:
Practice Address - Street 1:2021 W WASHINGTON ST APT 2A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-5271
Practice Address - Country:US
Practice Address - Phone:702-861-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy