Basic Information
Provider Information
NPI: 1629528187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER-HARRIS
FirstName: VALERIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12557 RAVENWOOD DR
Address2:  
City: CHARDON
State: OH
PostalCode: 440249009
CountryCode: US
TelephoneNumber: 4402853568
FaxNumber:  
Practice Location
Address1: 12557 RAVENWOOD DR
Address2:  
City: CHARDON
State: OH
PostalCode: 440249009
CountryCode: US
TelephoneNumber: 4402853568
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/09/2016
LastUpdateDate: 10/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XC.0007177OHY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home