Basic Information
Provider Information
NPI: 1598121824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURKOVICH
FirstName: HELEN
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: PSYD, DMIN, LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KARPUS
OtherFirstName: HELEN
OtherMiddleName: A
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 10
Address2:  
City: MASON
State: MI
PostalCode: 488540010
CountryCode: US
TelephoneNumber: 5176769788
FaxNumber: 5176763438
Practice Location
Address1: 4660 MARSH RD STE 23
Address2:  
City: OKEMOS
State: MI
PostalCode: 488642143
CountryCode: US
TelephoneNumber: 5172820792
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/31/2015
LastUpdateDate: 08/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X6401013804MIY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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