Healthcare Provider Details

I. General information

NPI: 1811788607
Provider Name (Legal Business Name): OAK GROVE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 ASHLAND AVE
SAINT PAUL MN
55104-6910
US

IV. Provider business mailing address

1240 ASHLAND AVE
SAINT PAUL MN
55104-6910
US

V. Phone/Fax

Practice location:
  • Phone: 612-930-6513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANA TURBES
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD, LP
Phone: 612-968-5605