Basic Information
| Provider Information | |||||||||
| NPI: | 1790819423 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOUCHSTONE MENTAL HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2312 SNELLING AVENUE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554043230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6127672162 | ||||||||
| FaxNumber: | 6128740157 | ||||||||
| Practice Location | |||||||||
| Address1: | 617 LOWRY AVE N | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554112000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128746409 | ||||||||
| FaxNumber: | 6128740157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 01/11/2022 | ||||||||
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| AuthorizedOfficialLastName: | WILKE | ||||||||
| AuthorizedOfficialFirstName: | SARAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | ACCOUNTING & BILLING SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 6123141151 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3104A0625X | 12567 | MN | Y | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No ID Information.