Healthcare Provider Details

I. General information

NPI: 1053717421
Provider Name (Legal Business Name): SABRINA LEANNE TURNER L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 08/24/2022
Certification Date: 08/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10427 EAST DUTCH HENRY RD
LEWISTOWN IL
61542-1419
US

IV. Provider business mailing address

10427 EAST DUTCH HENRY RD
LEWISTOWN IL
61542
US

V. Phone/Fax

Practice location:
  • Phone: 309-868-9634
  • Fax:
Mailing address:
  • Phone: 309-868-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180011494
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: