Provider Demographics
NPI:1851998322
Name:TURNER, JON EDEN (LMSW)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:EDEN
Last Name:TURNER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14886 BUCKLEBURY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1056
Mailing Address - Country:US
Mailing Address - Phone:214-684-8565
Mailing Address - Fax:
Practice Address - Street 1:333 N SHILOH RD STE 102
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6613
Practice Address - Country:US
Practice Address - Phone:469-969-0581
Practice Address - Fax:469-969-0967
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69698104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18311784OtherDRIVERS LICENSE