Provider Demographics
NPI:1366288979
Name:TURNER, AMY (LMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 N MONTCLAIR WAY
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7892
Mailing Address - Country:US
Mailing Address - Phone:619-727-1022
Mailing Address - Fax:
Practice Address - Street 1:609 N MONTCLAIR WAY
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7892
Practice Address - Country:US
Practice Address - Phone:619-727-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92387106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist