Provider Demographics
NPI:1871045211
Name:TURNER, DARREN W (MED, LPP)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:W
Last Name:TURNER
Suffix:
Gender:M
Credentials:MED, LPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-2013
Mailing Address - Country:US
Mailing Address - Phone:502-349-3100
Mailing Address - Fax:502-349-3169
Practice Address - Street 1:1013 GRANITE DR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2013
Practice Address - Country:US
Practice Address - Phone:502-349-3100
Practice Address - Fax:502-349-3169
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY286235103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling