Provider Demographics
NPI:1891385860
Name:TURNER, ROBERT L III (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:TURNER
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1214
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30133-1214
Mailing Address - Country:US
Mailing Address - Phone:678-467-0071
Mailing Address - Fax:
Practice Address - Street 1:4817 WINTERVIEW LN
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1990
Practice Address - Country:US
Practice Address - Phone:678-467-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health