Provider Demographics
NPI:1407699135
Name:TINYTOUCH2 LLC
Entity type:Organization
Organization Name:TINYTOUCH2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:POLONY
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA
Authorized Official - Phone:716-770-2359
Mailing Address - Street 1:27050 CEDAR RD APT 518
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1125
Mailing Address - Country:US
Mailing Address - Phone:716-770-2359
Mailing Address - Fax:
Practice Address - Street 1:27050 CEDAR RD APT 518
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1125
Practice Address - Country:US
Practice Address - Phone:716-770-2359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty