Provider Demographics
NPI:1780993105
Name:TOUCHSTONE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:TOUCHSTONE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLOECKNER
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-856-1680
Mailing Address - Street 1:2120 W 25TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2951
Mailing Address - Country:US
Mailing Address - Phone:785-856-1680
Mailing Address - Fax:785-856-0174
Practice Address - Street 1:2120 W 25TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2951
Practice Address - Country:US
Practice Address - Phone:785-856-1680
Practice Address - Fax:785-856-0174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS39091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110661006OtherMEDICARE
KS200631130AMedicaid