Provider Demographics
NPI:1922129303
Name:TOUCHING LIVES CENTER INC.
Entity Type:Organization
Organization Name:TOUCHING LIVES CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:SPELLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:919-247-9414
Mailing Address - Street 1:501 DANDELION PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2131
Mailing Address - Country:US
Mailing Address - Phone:919-231-0372
Mailing Address - Fax:919-231-0372
Practice Address - Street 1:616 TUCKER ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1232
Practice Address - Country:US
Practice Address - Phone:919-247-9414
Practice Address - Fax:919-833-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700451Medicaid