Provider Demographics
NPI:1457086191
Name:TURNER, KEESHA JACSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KEESHA
Middle Name:JACSON
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6119 N SHORE DR STE A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-3956
Mailing Address - Country:US
Mailing Address - Phone:832-651-0046
Mailing Address - Fax:
Practice Address - Street 1:6119 N SHORE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-3956
Practice Address - Country:US
Practice Address - Phone:225-337-7715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8378101YP2500X
LA006038746171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional