Healthcare Provider Details
I. General information
NPI: 1356533772
Provider Name (Legal Business Name): VERONICA TURNER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/10/2007
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
569 MAIN ST STE 102
WARREN RI
02885-4417
US
IV. Provider business mailing address
912 PEARCE ST
FALL RIVER MA
02720-5925
US
V. Phone/Fax
- Phone: 508-493-9222
- Fax:
- Phone: 508-493-9222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MHC00537 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: