Healthcare Provider Details
I. General information
NPI: 1699593855
Provider Name (Legal Business Name): TURNWELL MENTAL HEALTH OF SOUTH DAKOTA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2024
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
317 E CAPITOL ST STE 200
JACKSON MS
39201-3405
US
IV. Provider business mailing address
3500 MAPLE AVE STE 1430
DALLAS TX
75219-3906
US
V. Phone/Fax
- Phone: 605-573-2000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PRIYANKA
GANDHI
Title or Position: VP
Credential:
Phone: 469-765-0328