| Life Touch Llc | |
|
1879 Hwy 258n Kinston NC 28504-7206 | |
| (252) 315-5165 | |
| Not Available |
| Full Name | Life Touch Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1879 Hwy 258n, Kinston, North Carolina |
| Authorized Official Name and Position | Brandon Sims (CEO) |
| Authorized Official Contact | 2523155165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Touch Llc 1879 Hwy 258n Kinston NC 28504-7206 Ph: (252) 315-5165 | Life Touch Llc 1879 Hwy 258n Kinston NC 28504-7206 Ph: (252) 315-5165 |
| NPI Number | 1487882205 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Medicare PECOS PAC ID | 7517237167 |
|---|---|
| Medicare Enrollment ID | O20170714001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487882205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Angela Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417340688 PECOS PAC ID: 2668729682 Enrollment ID: I20180723002228 |
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