Healthcare Provider Details

I. General information

NPI: 1942883772
Provider Name (Legal Business Name): MS. TANAYA LEEANN TURPIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

656 QUINCE ORCHARD RD STE 600
GAITHERSBURG MD
20878-1418
US

IV. Provider business mailing address

221 CHESTER LN
BRIDGEVILLE DE
19933-2003
US

V. Phone/Fax

Practice location:
  • Phone: 301-233-5021
  • Fax:
Mailing address:
  • Phone: 302-331-6196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP14725
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: