Healthcare Provider Details

I. General information

NPI: 1740532886
Provider Name (Legal Business Name): BARBARA ANGELA BINKLEY TURK LMHC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2012
Last Update Date: 10/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 RIVERSIDE AVE SUITE 2K
JACKSONVILLE FL
32205-3312
US

IV. Provider business mailing address

2909 RAINBOW RD
JACKSONVILLE FL
32217-2434
US

V. Phone/Fax

Practice location:
  • Phone: 904-403-1165
  • Fax:
Mailing address:
  • Phone: 904-403-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10749
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00052315
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: