Healthcare Provider Details

I. General information

NPI: 1013667179
Provider Name (Legal Business Name): TOUCHING SOULS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 TIPPERARY RD
HAMPTON GA
30228-2348
US

IV. Provider business mailing address

669 TIPPERARY RD
HAMPTON GA
30228-2348
US

V. Phone/Fax

Practice location:
  • Phone: 347-737-4041
  • Fax: 678-210-8850
Mailing address:
  • Phone: 347-737-4041
  • Fax: 678-210-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LAWANDA WELLS
Title or Position: OWNER
Credential:
Phone: 347-737-4041