MEDICARE: PREVEILING TOUCH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1053990200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVEILING TOUCH LLC

Provider Business Mailing Address
First Line	:	8401 CLAUDE THOMAS RD STE 29
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-1475
Country	:	US
Telephone Number	:	513-725-6471
Fax Number	:	937-600-6010

Provider Business Practice Location Address
First Line	:	8401 CLAUDE THOMAS RD STE 29
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-1475
Country	:	US
Telephone Number	:	513-725-6471
Fax Number	:	937-600-6010

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MICHAEL ANTHONY PLATTENBURG
Credential	:	LISW-S
Telephone Number	:	330-931-5640

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	04/23/2024

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