MEDICARE: MAKE YOUR TURN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	2084P0800X	Psychiatry Physician
3	363A00000X	Physician Assistant
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1790635118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKE YOUR TURN LLC

Provider Business Mailing Address
First Line	:	10715 PARDEE RD
Second Line	:
City	:	TAYLOR
State	:	MI
Zip	:	48180-3530
Country	:	US
Telephone Number	:	419-210-3660
Fax Number	:	734-344-7431

Provider Business Practice Location Address
First Line	:	3450 W CENTRAL AVE STE 122
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1421
Country	:	US
Telephone Number	:	419-210-3660
Fax Number	:	734-344-7431

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONNELL A GEMUS
Credential	:	PA
Telephone Number	:	313-457-4305

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “MAKE YOUR TURN LLC ” Practice Location

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