| Touchstone Behavioral Health | |
|
15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 | |
| (866) 207-3882 | |
| (602) 732-5480 |
| Full Name | Touchstone Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 15820 N 35th Ave Ste 14, Phoenix, Arizona |
| Authorized Official Name and Position | Kim Egan (CHIEF QUALITY OFFICER) |
| Authorized Official Contact | 6236927409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Touchstone Behavioral Health 15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 Ph: (866) 207-3882 | Touchstone Behavioral Health 15820 N 35th Ave Ste 14 Phoenix AZ 85053-7608 Ph: (866) 207-3882 |
| NPI Number | 1629541479 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 1557395274 |
|---|---|
| Medicare Enrollment ID | O20050922000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629541479 | NPI | - | NPPES |
| 518465 | Other | AZ | AHCCCS |
| OTC9396 | Other | AZ | ADHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alodia Banuelos Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043635162 PECOS PAC ID: 1951627975 Enrollment ID: I20150310000734 |
| Provider Name | Kristin Leigh Serrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063914398 PECOS PAC ID: 1850654278 Enrollment ID: I20180418001248 |
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