Provider Demographics
NPI:1649018854
Name:TURNER WALTON, GINA (HEALTH COACH, IRIDOL)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:TURNER WALTON
Suffix:
Gender:F
Credentials:HEALTH COACH, IRIDOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 SUDBROOK RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5845
Mailing Address - Country:US
Mailing Address - Phone:910-583-7049
Mailing Address - Fax:
Practice Address - Street 1:7400 SUDBROOK RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5845
Practice Address - Country:US
Practice Address - Phone:910-583-7049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X, 175L00000X
NC101YM0800X, 171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No175L00000XOther Service ProvidersHomeopath