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General NPI Number Information
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NPI Number | 1205553013
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Entity Type | Organization
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Legal Business Name | TURNER THERAPY AND WELLNESS, LLC.
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 09/23/2023
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Provider Practice Location Address
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Address Line | 1029 COLLEGE AVE STE B
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City | JACKSON
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State | KY
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Zip | 41339-1070
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Country | US
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Telephone | 606-233-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 HIGHWAY 1933
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City | JACKSON
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State | KY
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Zip | 41339-8560
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Country | US
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Telephone | 606-568-7300
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Fax |
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Authorized Official
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Title or Position | PRIVATE PRACTICE OWNER/OPERATOR
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Name | SUSAN CAROL TURNER
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Credential | LPCC
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Telephone | 606-221-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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