Provider Demographics
NPI:1073339156
Name:TURNER, MICKEY (MS)
Entity type:Individual
Prefix:
First Name:MICKEY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 KY ROUTE 580
Mailing Address - Street 2:
Mailing Address - City:OIL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41238-9040
Mailing Address - Country:US
Mailing Address - Phone:254-371-5271
Mailing Address - Fax:
Practice Address - Street 1:438 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-2048
Practice Address - Country:US
Practice Address - Phone:606-663-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-23
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY300900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional