Provider Demographics
NPI:1972924314
Name:TOUCHSTONE CENTER, LLC
Entity Type:Organization
Organization Name:TOUCHSTONE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:985-625-0023
Mailing Address - Street 1:1018 VERRET ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4640
Mailing Address - Country:US
Mailing Address - Phone:985-625-0023
Mailing Address - Fax:985-625-0022
Practice Address - Street 1:142A RUE MARGUERITE
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-6738
Practice Address - Country:US
Practice Address - Phone:985-625-0023
Practice Address - Fax:985-625-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1-13-13740103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty