Healthcare Provider Details
I. General information
NPI: 1447166533
Provider Name (Legal Business Name): NERZADA TURAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 PINE HAVEN SHORES RD STE 1192
SHELBURNE VT
05482-7703
US
IV. Provider business mailing address
145 PINE HAVEN SHORES RD STE 1192
SHELBURNE VT
05482-7703
US
V. Phone/Fax
- Phone: 802-391-9576
- Fax:
- Phone: 802-391-9576
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NERZADA
TURAN
Title or Position: COUNSELOR
Credential: LCMHC
Phone: 802-391-7450