Provider Demographics
NPI:1841918695
Name:INTOUCH COUNSELING LCSW
Entity type:Organization
Organization Name:INTOUCH COUNSELING LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ZYESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-838-4006
Mailing Address - Street 1:6581 KINNE RD UNIT 630
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-3425
Mailing Address - Country:US
Mailing Address - Phone:315-838-4006
Mailing Address - Fax:315-849-3086
Practice Address - Street 1:2501 JAMES ST # 202
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2887
Practice Address - Country:US
Practice Address - Phone:315-838-4006
Practice Address - Fax:315-849-3086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTOUCH COUNSELING LCSW PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1134678279OtherNPPES