Provider Demographics
NPI:1912682196
Name:TOUCH ANGELS BEHAVIORAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:TOUCH ANGELS BEHAVIORAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-AKYEAW
Authorized Official - Suffix:
Authorized Official - Credentials:SAMUEL OWUSU-AKYEAW
Authorized Official - Phone:253-509-8184
Mailing Address - Street 1:5045 S TATUM LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0511
Mailing Address - Country:US
Mailing Address - Phone:253-509-8184
Mailing Address - Fax:480-616-0132
Practice Address - Street 1:715 N GILBERT RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-6656
Practice Address - Country:US
Practice Address - Phone:480-616-0133
Practice Address - Fax:480-616-0132
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCH ANGELS BEHAVIORAL HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty