Provider Demographics
NPI:1427809110
Name:TURK, NIGEL PATRICK (LPC)
Entity type:Individual
Prefix:
First Name:NIGEL
Middle Name:PATRICK
Last Name:TURK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 N LEAWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-3271
Mailing Address - Country:US
Mailing Address - Phone:309-360-9263
Mailing Address - Fax:
Practice Address - Street 1:808 S ELDORADO RD STE 300
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-6009
Practice Address - Country:US
Practice Address - Phone:331-529-6859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178019112101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional