MEDICARE: TURNING POINT COUNSELING CENTER

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	251S00000X	Community/Behavioral Health Agency	1422	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639579428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNING POINT COUNSELING CENTER

Provider Business Mailing Address
First Line	:	220 W WASHINGTON ST
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141-2416
Country	:	US
Telephone Number	:	270-659-2823
Fax Number	:	270-659-0534

Provider Business Practice Location Address
First Line	:	220 W WASHINGTON ST
Second Line	:
City	:	GLASGOW
State	:	KY
Zip	:	42141-2416
Country	:	US
Telephone Number	:	270-659-2823
Fax Number	:	270-659-0534

Authorized Official
Title or Position	:	SOLE PROPRIETER
Name	:	REBELEE CHANTEL SHARP-BYRN
Credential	:	LCSW
Telephone Number	:	270-659-2823

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	08/28/2014

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