Provider Demographics
NPI:1851722540
Name:TURNER, SHEYVON FULLWOOD
Entity Type:Individual
Prefix:MS
First Name:SHEYVON
Middle Name:FULLWOOD
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 1:2627 W FLORIDA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-4618
Mailing Address - Country:US
Mailing Address - Phone:888-346-3649
Mailing Address - Fax:888-885-0317
Practice Address - Street 1:2627 W FLORIDA AVE STE 203
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-4618
Practice Address - Country:US
Practice Address - Phone:888-364-3649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7310101YM0800X
CA7580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health