Provider Demographics
NPI:1487366191
Name:TOUCHSTONE OF HOPE,LLC
Entity type:Organization
Organization Name:TOUCHSTONE OF HOPE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CNO
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUAY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, BC
Authorized Official - Phone:207-991-8703
Mailing Address - Street 1:10 RANDOLPH DR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2828
Mailing Address - Country:US
Mailing Address - Phone:207-991-8703
Mailing Address - Fax:
Practice Address - Street 1:120 STATE ST STE 6-6
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5355
Practice Address - Country:US
Practice Address - Phone:207-517-2043
Practice Address - Fax:207-489-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty