MEDICARE: MICKEY TURNER MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	300900	KY

General Provider Information

NPI Number	:	1073339156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICKEY TURNER MS

Provider Business Mailing Address
First Line	:	4727 KY ROUTE 580
Second Line	:
City	:	OIL SPRINGS
State	:	KY
Zip	:	41238-9040
Country	:	US
Telephone Number	:	254-371-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 WASHINGTON ST
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2048
Country	:	US
Telephone Number	:	606-663-2274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2024
Last Update Date	:	09/03/2025

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Directions to “ MICKEY TURNER MS” Practice Location

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