Provider Demographics
NPI:1992258354
Name:TURBER ENTERPRISES, INC.
Entity type:Organization
Organization Name:TURBER ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:TURBER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-891-2678
Mailing Address - Street 1:4103 ROCKS LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-6683
Mailing Address - Country:US
Mailing Address - Phone:770-891-2678
Mailing Address - Fax:770-466-5955
Practice Address - Street 1:4103 ROCKS LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-6683
Practice Address - Country:US
Practice Address - Phone:770-891-2678
Practice Address - Fax:770-466-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001394101YM0800X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty