Healthcare Provider Details

I. General information

NPI: 1871020628
Provider Name (Legal Business Name): TURNING LEAF COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 CANAL AVE E
WYNNE AR
72396-3003
US

IV. Provider business mailing address

4 WYNNEWOOD DR N
WYNNE AR
72396-1804
US

V. Phone/Fax

Practice location:
  • Phone: 870-587-7020
  • Fax: 870-587-7020
Mailing address:
  • Phone: 870-587-7020
  • Fax: 870-587-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number05-02P
License Number StateAR

VIII. Authorized Official

Name: DR. ELAINE KEMP
Title or Position: OWNER
Credential: PSY.D.
Phone: 870-587-7020