Provider Demographics
NPI:1659596302
Name:HEALTHTOUCH, LLC
Entity Type:Organization
Organization Name:HEALTHTOUCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-227-8152
Mailing Address - Street 1:PO BOX 843446
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3446
Mailing Address - Country:US
Mailing Address - Phone:803-227-8007
Mailing Address - Fax:803-996-3180
Practice Address - Street 1:4721 SUNSET BOULEVARD
Practice Address - Street 2:SUITE A
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072
Practice Address - Country:US
Practice Address - Phone:803-227-8009
Practice Address - Fax:803-996-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4643Medicaid
SCGP4643Medicaid
SC=========-001OtherBLUE CROSS PROV #
SC=========OtherTAX ID#