Provider Demographics
NPI:1386216760
Name:TURTLE COVE COUNSELING, LLC
Entity Type:Organization
Organization Name:TURTLE COVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MILLNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-617-6854
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-0435
Mailing Address - Country:US
Mailing Address - Phone:443-617-6854
Mailing Address - Fax:717-479-5571
Practice Address - Street 1:92 IRISH DR
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-9268
Practice Address - Country:US
Practice Address - Phone:443-617-6854
Practice Address - Fax:717-479-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty