Provider Demographics
NPI:1962532572
Name:TURNING POINT CENTER FOR PSYCHOLOGICAL AND FAMILY GROWTH LLC
Entity type:Organization
Organization Name:TURNING POINT CENTER FOR PSYCHOLOGICAL AND FAMILY GROWTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DLANE
Authorized Official - Middle Name:SALLY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-243-8086
Mailing Address - Street 1:404 BARATARIA LN
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-3698
Mailing Address - Country:US
Mailing Address - Phone:850-243-8086
Mailing Address - Fax:850-243-2702
Practice Address - Street 1:404 BARATARIA LN
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-3698
Practice Address - Country:US
Practice Address - Phone:850-243-8086
Practice Address - Fax:850-243-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
FLPY 3183103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
94705OtherBLUE CROSS BLUE SHIELD