=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265154983
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABRAHM E TURNER LPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2022
-----------------------------------------------------
Last Update Date | 08/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20351 HIGHWAY 6 STE B
-----------------------------------------------------
City | MANVEL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77578-3882
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-233-1584
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6942 J W PEAVY DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77011-1458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-948-6589
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 89828
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------