MEDICARE: MS. RAVZA OZTURK M.ED., LPC

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	101YM0800X	Mental Health Counselor	C.2204194	OH

General Provider Information

NPI Number	:	1083348783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RAVZA OZTURK M.ED., LPC

Provider Business Mailing Address
First Line	:	4065 CANE RIDGE PKWY APT 405
Second Line	:
City	:	ANTIOCH
State	:	TN
Zip	:	37013-5171
Country	:	US
Telephone Number	:	614-370-9011
Fax Number	:

Provider Business Practice Location Address
First Line	:	SUMMIT ONE BUILDING 4700 ROCKSIDE ROAD
Second Line	:	SUITE 135
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131
Country	:	US
Telephone Number	:	330-518-8334
Fax Number	:	440-628-8123

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

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	01/06/2025

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