Provider Demographics
NPI:1790819423
Name:TOUCHSTONE MENTAL HEALTH
Entity Type:Organization
Organization Name:TOUCHSTONE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING & BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-314-1151
Mailing Address - Street 1:2312 SNELLING AVENUE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3230
Mailing Address - Country:US
Mailing Address - Phone:612-767-2162
Mailing Address - Fax:612-874-0157
Practice Address - Street 1:617 LOWRY AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2000
Practice Address - Country:US
Practice Address - Phone:612-874-6409
Practice Address - Fax:612-874-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125673104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness