Provider Demographics
NPI:1992014856
Name:DESIREE TURNER THERAPEUTIC SERVICES, LLC
Entity Type:Organization
Organization Name:DESIREE TURNER THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:253-921-9589
Mailing Address - Street 1:1302 N I ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2118
Mailing Address - Country:US
Mailing Address - Phone:253-921-9589
Mailing Address - Fax:253-272-3348
Practice Address - Street 1:1302 N I ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2118
Practice Address - Country:US
Practice Address - Phone:253-921-9589
Practice Address - Fax:253-272-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty