Provider Demographics
NPI:1568215531
Name:TURK, SHALONDRIA
Entity type:Individual
Prefix:
First Name:SHALONDRIA
Middle Name:
Last Name:TURK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5829 CAMPBELLTON RD SW STE 104-213
Mailing Address - Street 2:
Mailing Address - City:SOUTH FULTON
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8037
Mailing Address - Country:US
Mailing Address - Phone:404-285-7353
Mailing Address - Fax:404-726-8712
Practice Address - Street 1:5829 CAMPBELLTON RD SW STE 104-213
Practice Address - Street 2:
Practice Address - City:SOUTH FULTON
Practice Address - State:GA
Practice Address - Zip Code:30331-8037
Practice Address - Country:US
Practice Address - Phone:404-285-7353
Practice Address - Fax:404-726-8712
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0089651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical