Provider Demographics
NPI:1053086645
Name:TURNING LEAF MENTAL HEALTH COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:TURNING LEAF MENTAL HEALTH COUNSELING SERVICES PLLC
Other - Org Name:TURNING LEAF COUNSELING SVCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:518-338-3117
Mailing Address - Street 1:5 WARREN ST STE 209
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4558
Mailing Address - Country:US
Mailing Address - Phone:518-338-3117
Mailing Address - Fax:518-831-5944
Practice Address - Street 1:5 WARREN ST STE 209
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4558
Practice Address - Country:US
Practice Address - Phone:518-338-3117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty