Provider Demographics
NPI:1457628208
Name:TURNER, LAUREL L (BA, LADC #00477 (NV))
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:BA, LADC #00477 (NV)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-7203
Mailing Address - Country:US
Mailing Address - Phone:702-380-2889
Mailing Address - Fax:702-380-2893
Practice Address - Street 1:525 S 13TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-7203
Practice Address - Country:US
Practice Address - Phone:702-380-2889
Practice Address - Fax:702-380-2893
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00477-L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)