Provider Demographics
NPI:1992593883
Name:TURLEY, ISAMARA L
Entity type:Individual
Prefix:
First Name:ISAMARA
Middle Name:L
Last Name:TURLEY
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 1:1175 N 430 E
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-4191
Mailing Address - Country:US
Mailing Address - Phone:801-814-7806
Mailing Address - Fax:
Practice Address - Street 1:1104 COUNTRY HILLS DR STE 700
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2435
Practice Address - Country:US
Practice Address - Phone:801-814-7806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139810623502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker