Provider Demographics
NPI:1881942035
Name:TOUCHSTONE BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:TOUCHSTONE BEHAVIORAL HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:KRISTINA GERVOL
Authorized Official - Last Name:CREYDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PSYD
Authorized Official - Phone:360-990-3848
Mailing Address - Street 1:288 MARTIN ST. BOX 1
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230
Mailing Address - Country:US
Mailing Address - Phone:360-788-4228
Mailing Address - Fax:360-778-1423
Practice Address - Street 1:288 MARTIN ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230
Practice Address - Country:US
Practice Address - Phone:360-788-4228
Practice Address - Fax:360-778-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health