Provider Demographics
NPI:1124702915
Name:TOUCH, SHALISHA TRINAE
Entity type:Individual
Prefix:
First Name:SHALISHA
Middle Name:TRINAE
Last Name:TOUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHALISHA
Other - Middle Name:TRINAE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5501 DELMAR BLVD
Mailing Address - Street 2:B300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5501 DELMAR BLVD
Practice Address - Street 2:B300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112
Practice Address - Country:US
Practice Address - Phone:314-469-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator