Provider Demographics
NPI:1760510697
Name:TOUCHSTONE COUNSELING SERVICES
Entity Type:Organization
Organization Name:TOUCHSTONE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAROLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:925-932-0150
Mailing Address - Street 1:140 MAYHEW WAY STE 606
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4337
Mailing Address - Country:US
Mailing Address - Phone:925-932-0159
Mailing Address - Fax:925-210-8042
Practice Address - Street 1:140 MAYHEW WAY STE 606
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4337
Practice Address - Country:US
Practice Address - Phone:925-932-0159
Practice Address - Fax:925-210-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACO720523106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA97821Medicare ID - Type UnspecifiedCA MEDI-CAL PROVIDER