Healthcare Provider Details

I. General information

NPI: 1407769094
Provider Name (Legal Business Name): SYDNEY TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 FRANKLIN TPKE
DANVILLE VA
24540-1031
US

IV. Provider business mailing address

5109 DRY FORK RD LOT 3
DRY FORK VA
24549-4214
US

V. Phone/Fax

Practice location:
  • Phone: 434-836-8525
  • Fax:
Mailing address:
  • Phone: 434-471-6344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016414
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: