Healthcare Provider Details

I. General information

NPI: 1083863526
Provider Name (Legal Business Name): TURNING POINT BATTERED WOMEN'S SHELTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 EAST GWEN STREET
PHOENIX AZ
85042-7667
US

IV. Provider business mailing address

202 EAST GWEN STREET
PHOENIX AZ
85042-7667
US

V. Phone/Fax

Practice location:
  • Phone: 602-286-6154
  • Fax: 602-230-1991
Mailing address:
  • Phone: 602-286-6154
  • Fax: 602-230-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA MARIE BERRY
Title or Position: DIRECTOR
Credential: MA
Phone: 602-286-6154