Provider Demographics
NPI:1083650774
Name:TURNER, KELLY C (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:C
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 SOLAMERE LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-5108
Mailing Address - Country:US
Mailing Address - Phone:334-618-0033
Mailing Address - Fax:334-329-7016
Practice Address - Street 1:166 N GAY ST STE 6
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8841
Practice Address - Country:US
Practice Address - Phone:334-618-0033
Practice Address - Fax:334-329-7016
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2417101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51532688OtherBLUE CROSS AND BLUE SHIEL