Organization
TOUCHSTONE WELLNESS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WADE BOTKIN III LMHC (MANAGING DIRECTOR)
(941) 812-5321
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST, SUITE 106, SARASOTA, FL 34239-2635
(941) 812-5321
Mailing address
2650 BAHIA VISTA ST, SUITE 106, SARASOTA, FL 34239-2635
(941) 812-5321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z167Y
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/11/2008
Last updated
05/19/2016
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