Provider Demographics
NPI:1467104554
Name:J M-TURNER, INC.
Entity Type:Organization
Organization Name:J M-TURNER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MERTZ-TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:260-582-2251
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-0246
Mailing Address - Country:US
Mailing Address - Phone:260-582-2251
Mailing Address - Fax:260-230-3529
Practice Address - Street 1:1847 IDA RED RD
Practice Address - Street 2:
Practice Address - City:KENDALLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46755-2873
Practice Address - Country:US
Practice Address - Phone:260-582-2251
Practice Address - Fax:260-230-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1346345196Medicaid