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NPI Code Detail

MEDICARE: TURNWELL MENTAL HEALTH OF SOUTH DAKOTA, PC

MEDICARE: TURNWELL MENTAL HEALTH OF SOUTH DAKOTA, PC
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
1101YM0800XMental Health Counselor
2104100000XSocial Worker
3106H00000XMarriage & Family Therapist
42084P0802XAddiction Psychiatry Physician
52084P0805XGeriatric Psychiatry Physician
6363L00000XNurse Practitioner
7363LP0808XPsychiatric/Mental Health Nurse Practitioner
82084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1720850183
Entity Type Code : Organization
Provider Name (Legal Business Name) : TURNWELL MENTAL HEALTH OF SOUTH DAKOTA, PC
Provider Business Mailing Address
First Line : 3500 MAPLE AVE STE 1600
Second Line :
City : DALLAS
State : TX
Zip : 75219-3936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4308 S ARWAY DR
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-3131
Country : US
Telephone Number : 605-573-2000
Fax Number : 605-573-2002
Authorized Official
Title or Position : VP, GROWTH
Name : PRIYANKA GANDHI
Credential : VP
Telephone Number : 469-765-0328
Provider Enumeration Date : 10/27/2023
Last Update Date : 10/27/2023

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