Provider Demographics
NPI:1790113819
Name:DEBRA L TURNER, INC
Entity Type:Organization
Organization Name:DEBRA L TURNER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-521-6733
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74018-0185
Mailing Address - Country:US
Mailing Address - Phone:918-521-6733
Mailing Address - Fax:
Practice Address - Street 1:1218 N FLORENCE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3109
Practice Address - Country:US
Practice Address - Phone:918-521-6733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1649101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1023327699OtherNPI