Provider Demographics
NPI:1295076834
Name:ANGELA DURANT TURNER
Entity type:Organization
Organization Name:ANGELA DURANT TURNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DURANT
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, EDS, BCC
Authorized Official - Phone:850-545-8463
Mailing Address - Street 1:3201 SHAMROCK ST S STE 103
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-3349
Mailing Address - Country:US
Mailing Address - Phone:850-545-8463
Mailing Address - Fax:850-894-0062
Practice Address - Street 1:3201 SHAMROCK ST S STE 103
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-3349
Practice Address - Country:US
Practice Address - Phone:850-545-8463
Practice Address - Fax:850-894-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty