Basic Information
Provider Information
NPI: 1346542016
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: TERRI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3569 RIDGE RD
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441025443
CountryCode: US
TelephoneNumber: 2162810872
FaxNumber: 2162819565
Practice Location
Address1: 10731 N STATE ROAD 13
Address2:  
City: ELWOOD
State: IN
PostalCode: 46036
CountryCode: US
TelephoneNumber: 3175741254
FaxNumber: 3176740060
Other Information
ProviderEnumerationDate: 12/01/2010
LastUpdateDate: 05/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XE0008135OHN Behavioral Health & Social Service ProvidersCounselorMental Health
101YM0800X39002628AINY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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