Provider Demographics
NPI:1548049661
Name:TURNER, COLLEEN MARIE (MS)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MARIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21288 HIDDEN POND PL
Mailing Address - Street 2:
Mailing Address - City:BROADLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4019
Mailing Address - Country:US
Mailing Address - Phone:704-830-4243
Mailing Address - Fax:
Practice Address - Street 1:2407 MONACO DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5912
Practice Address - Country:US
Practice Address - Phone:850-988-1203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health