Provider Demographics
NPI:1306482765
Name:TURNER, MECHELLE (LMHC)
Entity type:Individual
Prefix:
First Name:MECHELLE
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 E 45TH ST RM 1101
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3304
Mailing Address - Country:US
Mailing Address - Phone:630-474-4827
Mailing Address - Fax:
Practice Address - Street 1:216 E 45TH ST RM 1101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3304
Practice Address - Country:US
Practice Address - Phone:630-474-4827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009940-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health