Provider Demographics
NPI:1316956667
Name:TURNINGLEAF INC.
Entity type:Organization
Organization Name:TURNINGLEAF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FICPP
Authorized Official - Phone:435-652-1202
Mailing Address - Street 1:1240 E 100 S
Mailing Address - Street 2:SUITE 121
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-3001
Mailing Address - Country:US
Mailing Address - Phone:435-652-1202
Mailing Address - Fax:435-652-1206
Practice Address - Street 1:1240 E 100 S
Practice Address - Street 2:SUITE 121
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-3001
Practice Address - Country:US
Practice Address - Phone:435-652-1202
Practice Address - Fax:435-652-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10926101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty