Provider Demographics
NPI:1790186716
Name:FAMILY EXPLORATION, LLC
Entity Type:Organization
Organization Name:FAMILY EXPLORATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:TURCO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-457-7673
Mailing Address - Street 1:1048 MOUNTAIN VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:PINE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:31822-2546
Mailing Address - Country:US
Mailing Address - Phone:706-457-7673
Mailing Address - Fax:
Practice Address - Street 1:233 12TH ST
Practice Address - Street 2:SUITE 901
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2462
Practice Address - Country:US
Practice Address - Phone:706-225-0322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002346103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty