Healthcare Provider Details

I. General information

NPI: 1649317181
Provider Name (Legal Business Name): GENTLE TOUCH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 PINE ST
MONROE LA
71201-6333
US

IV. Provider business mailing address

501 PINE ST
MONROE LA
71201-6333
US

V. Phone/Fax

Practice location:
  • Phone: 318-398-0111
  • Fax: 318-398-0599
Mailing address:
  • Phone: 318-398-0111
  • Fax: 318-398-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPCA 7128
License Number StateLA

VIII. Authorized Official

Name: MS. LIZ M HARRIS
Title or Position: SOCIAL WORKER EX DIRECTOR
Credential:
Phone: 318-398-0111