Provider Demographics
NPI:1881910313
Name:TURNER, TENIKA
Entity type:Individual
Prefix:
First Name:TENIKA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:P.O. BOX 86
Mailing Address - City:SMITHS
Mailing Address - State:AL
Mailing Address - Zip Code:36877-0086
Mailing Address - Country:US
Mailing Address - Phone:762-400-2055
Mailing Address - Fax:
Practice Address - Street 1:6909 MACON RD STE 27
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-0707
Practice Address - Country:US
Practice Address - Phone:706-888-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health