Provider Demographics
NPI:1639687122
Name:TURNQUIST, CHRISTY ELEASE
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ELEASE
Last Name:TURNQUIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 N KILLIAN DR STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1961
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-777-0106
Practice Address - Street 1:1408 N KILLIAN DR STE 205
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-1961
Practice Address - Country:US
Practice Address - Phone:561-632-3330
Practice Address - Fax:866-777-0106
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health