Provider Demographics
NPI:1871020628
Name:TURNING LEAF COUNSELING
Entity Type:Organization
Organization Name:TURNING LEAF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:870-587-7020
Mailing Address - Street 1:4 WYNNEWOOD DR. N.
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-3004
Mailing Address - Country:US
Mailing Address - Phone:870-587-7020
Mailing Address - Fax:870-587-7020
Practice Address - Street 1:711 CANAL AVE. E.
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-3004
Practice Address - Country:US
Practice Address - Phone:870-587-7020
Practice Address - Fax:870-587-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR05-02P251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health