Provider Demographics
NPI:1932320041
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:PO BOX 46421
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27620-6421
Mailing Address - Country:US
Mailing Address - Phone:919-747-9843
Mailing Address - Fax:919-747-9845
Practice Address - Street 1:2949 NEW BERN AVE
Practice Address - Street 2:SUITE 107A
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1248
Practice Address - Country:US
Practice Address - Phone:919-747-9843
Practice Address - Fax:919-747-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700451Medicaid
NC6006130Medicaid