Healthcare Provider Details

I. General information

NPI: 1508684879
Provider Name (Legal Business Name): TURNWELL MENTAL HEALTH OF SOUTH DAKOTA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 MANHATTAN BLVD
HARVEY LA
70058-3582
US

IV. Provider business mailing address

3500 MAPLE AVE STE 1430
DALLAS TX
75219-3906
US

V. Phone/Fax

Practice location:
  • Phone: 605-573-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRIYANKA GANDHI
Title or Position: VP
Credential:
Phone: 469-765-0328