Provider Demographics
NPI:1316282718
Name:TURNER, ANGELA DURANT (LMHC, NCC, BCC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:DURANT
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMHC, NCC, BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 HEATHE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2120
Mailing Address - Country:US
Mailing Address - Phone:850-545-8463
Mailing Address - Fax:
Practice Address - Street 1:4919 HEATHE DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2120
Practice Address - Country:US
Practice Address - Phone:850-545-8463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health