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NPI Code Detail

MEDICARE: MELODY TURNAGE

MEDICARE:   MELODY  TURNAGE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor88611933ID
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker8861933ID

General Provider Information

NPI Number : 1902240062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY TURNAGE
Provider Business Mailing Address
First Line : 12553 W EXPLORER DR STE 190
Second Line :
City : BOISE
State : ID
Zip : 83713-1612
Country : US
Telephone Number : 208-376-7083
Fax Number :
Provider Business Practice Location Address
First Line : 12553 W EXPLORER DR STE 190
Second Line :
City : BOISE
State : ID
Zip : 83713-1612
Country : US
Telephone Number : 208-376-7083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2013
Last Update Date : 01/05/2026

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Directions to “ MELODY TURNAGE ” Practice Location

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