Provider Demographics
NPI:1619596186
Name:TURTON, HOLLY AMELIA (MED, NCC, APC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:AMELIA
Last Name:TURTON
Suffix:
Gender:F
Credentials:MED, NCC, APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 BARBER CREEK DR STE 213
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5984
Mailing Address - Country:US
Mailing Address - Phone:706-389-4016
Mailing Address - Fax:
Practice Address - Street 1:1020 BARBER CREEK DR STE 213
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-5984
Practice Address - Country:US
Practice Address - Phone:478-733-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007382101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor