Provider Demographics
NPI:1942700125
Name:LIFETOUCH BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:LIFETOUCH BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DNP
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-514-2150
Mailing Address - Street 1:28 PIONEER CT
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-3604
Mailing Address - Country:US
Mailing Address - Phone:732-514-2150
Mailing Address - Fax:
Practice Address - Street 1:28 PIONEER CT
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3604
Practice Address - Country:US
Practice Address - Phone:732-514-2150
Practice Address - Fax:732-960-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health