Provider Demographics
NPI:1649776253
Name:TURNER, TRACI (LPC)
Entity Type:Individual
Prefix:
First Name:TRACI
Middle Name:
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 1:20727 RAINMEAD DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1834
Mailing Address - Country:US
Mailing Address - Phone:216-272-0290
Mailing Address - Fax:
Practice Address - Street 1:2040 NORTH LOOP W STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8140
Practice Address - Country:US
Practice Address - Phone:832-413-2410
Practice Address - Fax:832-575-1001
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71088101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor