Healthcare Provider Details

I. General information

NPI: 1669960845
Provider Name (Legal Business Name): CHERYL L TURNER-ROMANS RN, LMFT, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL L TURNER-VRLIK MSW

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 CONRAD HARCOURT WAY
RUSHVILLE IN
46173-1165
US

IV. Provider business mailing address

240 N TILLOTSON AVE
MUNCIE IN
47304-3988
US

V. Phone/Fax

Practice location:
  • Phone: 765-932-3699
  • Fax:
Mailing address:
  • Phone: 765-288-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001204A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28090734A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34003398A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: