Provider Demographics
NPI:1427495381
Name:TURNER, TERESA LEE (CMHC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:LEE
Last Name:TURNER
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 N 3900 W
Mailing Address - Street 2:
Mailing Address - City:FILLMORE
Mailing Address - State:UT
Mailing Address - Zip Code:84631-5061
Mailing Address - Country:US
Mailing Address - Phone:435-406-6902
Mailing Address - Fax:435-406-6902
Practice Address - Street 1:760 N 3900 W
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:UT
Practice Address - Zip Code:84631-5061
Practice Address - Country:US
Practice Address - Phone:435-406-6902
Practice Address - Fax:435-406-6902
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT101YM0800X
UT5169920-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000055580Medicare PIN