Provider Demographics
NPI:1689031379
Name:TURNER, ANITRA
Entity Type:Individual
Prefix:
First Name:ANITRA
Middle Name:
Last Name:TURNER
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 1:2424 DRUSILLA LN APT 117
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1408
Mailing Address - Country:US
Mailing Address - Phone:504-570-8695
Mailing Address - Fax:
Practice Address - Street 1:2424 DRUSILLA LN APT 117
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1408
Practice Address - Country:US
Practice Address - Phone:504-570-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health