Provider Demographics
NPI:1225850027
Name:OWENS, TURKESSA ANNETTE (QMHP A/C)
Entity type:Individual
Prefix:
First Name:TURKESSA
Middle Name:ANNETTE
Last Name:OWENS
Suffix:
Gender:F
Credentials:QMHP A/C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2121
Mailing Address - Country:US
Mailing Address - Phone:757-803-5909
Mailing Address - Fax:
Practice Address - Street 1:2413 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2121
Practice Address - Country:US
Practice Address - Phone:757-803-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0733004391101YM0800X
VA0732005123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health