Healthcare Provider Details

I. General information

NPI: 1215682000
Provider Name (Legal Business Name): TADAN'S TOUCH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SPRUCE ST. SUITE 1 & 2
TIPTON IA
52772-5277
US

IV. Provider business mailing address

100 PLUM ST
TIPTON IA
52772-1914
US

V. Phone/Fax

Practice location:
  • Phone: 563-349-8038
  • Fax: 563-886-8016
Mailing address:
  • Phone: 563-349-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. TODD ANDREW FOSS
Title or Position: PRESIDENT
Credential: QPRP
Phone: 563-349-8038