Healthcare Provider Details

I. General information

NPI: 1154825891
Provider Name (Legal Business Name): TOUCHSTONE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 03/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 MARTIN ST # 1
BLAINE WA
98230-4045
US

IV. Provider business mailing address

288 MARTIN ST # 1
BLAINE WA
98230-4045
US

V. Phone/Fax

Practice location:
  • Phone: 360-788-4228
  • Fax:
Mailing address:
  • Phone: 360-788-4228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIKA K CREYDT
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 360-788-4228