MEDICARE: MS. NANCY A TURNEY LPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC006076	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12196717	OTHER		CAQH

General Provider Information

NPI Number	:	1902106008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY A TURNEY LPC

Provider Business Mailing Address
First Line	:	185 BREEDLOVE LN
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-8808
Country	:	US
Telephone Number	:	770-788-6359
Fax Number	:

Provider Business Practice Location Address
First Line	:	4186 MILL ST NE
Second Line	:	SUITE B
City	:	COVINGTON
State	:	GA
Zip	:	30014-2559
Country	:	US
Telephone Number	:	770-788-6359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2010
Last Update Date	:	12/03/2012

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