Provider Demographics
NPI:1720303449
Name:TURNER, JOHN SHELBY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SHELBY
Last Name:TURNER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:GREEN
Other - Middle Name:
Other - Last Name:MEADOWS COUNSELING, INC.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:VA
Mailing Address - Zip Code:24574-0128
Mailing Address - Country:US
Mailing Address - Phone:434-929-0355
Mailing Address - Fax:434-929-0357
Practice Address - Street 1:3742 S AMHERST HWY
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:24572-5960
Practice Address - Country:US
Practice Address - Phone:434-929-0355
Practice Address - Fax:434-929-0357
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904007268104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker