Provider Demographics
NPI: | 1346876646 |
---|---|
Name: | TURNERWOOD MARRIAGE AND FAMILY THERAPY, INC. |
Entity type: | Organization |
Organization Name: | TURNERWOOD MARRIAGE AND FAMILY THERAPY, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | THAIS |
Authorized Official - Middle Name: | HELENA |
Authorized Official - Last Name: | TURNER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMFT |
Authorized Official - Phone: | 916-549-0710 |
Mailing Address - Street 1: | 8788 ELK GROVE BLVD STE 3-16 |
Mailing Address - Street 2: | |
Mailing Address - City: | ELK GROVE |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95624-1766 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 916-549-0710 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8788 ELK GROVE BLVD STE 3-16 |
Practice Address - Street 2: | |
Practice Address - City: | ELK GROVE |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95624-1766 |
Practice Address - Country: | US |
Practice Address - Phone: | 916-549-0710 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-03-18 |
Last Update Date: | 2020-03-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |