Provider Demographics
NPI:1255162129
Name:TURNER, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TURNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5648 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3940
Mailing Address - Country:US
Mailing Address - Phone:419-806-6663
Mailing Address - Fax:
Practice Address - Street 1:5648 MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-3940
Practice Address - Country:US
Practice Address - Phone:419-806-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2405945-TRNE390200000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program