=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093648487
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAMINO COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2026
-----------------------------------------------------
Last Update Date | 06/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 610 W ROOSEVELT RD STE B1
-----------------------------------------------------
City | WHEATON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60187-2303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-462-3999
-----------------------------------------------------
Fax | 630-462-0911
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 610 W ROOSEVELT RD STE B1
-----------------------------------------------------
City | WHEATON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60187-2303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-462-3999
-----------------------------------------------------
Fax | 630-462-0911
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PSYCHOTHERAPIST
-----------------------------------------------------
Name | MANETTE GALVAN TURNER
-----------------------------------------------------
Credential | LCPC
-----------------------------------------------------
Telephone | 630-235-0849
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------