Provider Demographics
NPI:1174974489
Name:TURVILLE, TERESA (MS, LCPC)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:TURVILLE
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 ORION RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-8122
Mailing Address - Country:US
Mailing Address - Phone:406-781-3034
Mailing Address - Fax:
Practice Address - Street 1:1158 ORION RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-8122
Practice Address - Country:US
Practice Address - Phone:406-781-3034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-16277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health