Provider Demographics
NPI:1851888218
Name:TURNER, ANDREA DENISE (MAED, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:DENISE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MAED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 EUCLID AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2228
Mailing Address - Country:US
Mailing Address - Phone:216-361-9870
Mailing Address - Fax:
Practice Address - Street 1:3740 EUCLID AVE STE 200
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2228
Practice Address - Country:US
Practice Address - Phone:216-361-9870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2876928Medicaid