Provider Demographics
NPI:1912224239
Name:TURNING POINT LIFE DEVELOPMENT, LLC
Entity Type:Organization
Organization Name:TURNING POINT LIFE DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LACY
Authorized Official - Middle Name:G
Authorized Official - Last Name:DYKE
Authorized Official - Suffix:
Authorized Official - Credentials:MMFT, LPC
Authorized Official - Phone:512-912-6609
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78646-0223
Mailing Address - Country:US
Mailing Address - Phone:512-912-6609
Mailing Address - Fax:
Practice Address - Street 1:1001 CYPRESS CREEK RD STE 301
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4469
Practice Address - Country:US
Practice Address - Phone:512-912-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63364101YP2500X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty