Provider Demographics
NPI:1063502342
Name:TURNER, KATHI ROSANNAH (LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:KATHI
Middle Name:ROSANNAH
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 CHARTER OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-4723
Mailing Address - Country:US
Mailing Address - Phone:972-633-2467
Mailing Address - Fax:972-633-5075
Practice Address - Street 1:1721 W PLANO PKWY
Practice Address - Street 2:SUITE # 127
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8634
Practice Address - Country:US
Practice Address - Phone:214-924-5706
Practice Address - Fax:924-633-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health