=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356191837
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURNING POINT BEHAVIORAL HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2024
-----------------------------------------------------
Last Update Date | 05/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 NW 1ST ST
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57042-2884
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-556-0160
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 841 RIDGEVIEW RD NE
-----------------------------------------------------
City | THOMPSON
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58278-9414
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | TANNER GRIMSLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 701-330-4111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 323P00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------