# TOUCHSTONE INNOVARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528361060
- **Authorized official:** MISS SHANNON MARIE MULLETT LMSW (CLINICIAN)
- **Authorized official phone:** (616) 459-0255

## Contact information

- **Practice address:** 201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
- **Practice address phone:** (616) 459-0255
- **Practice address fax:** (616) 242-6057
- **Mailing address:** 201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
- **Mailing address phone:** (616) 459-0255
- **Mailing address fax:** (616) 242-6057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6801090829 | MI | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010