Basic Information
| Provider Information | |||||||||
| NPI: | 1649648338 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | LENA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3583 | ||||||||
| Address2: | |||||||||
| City: | MORGAN CITY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703813583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9853546130 | ||||||||
| FaxNumber: | 9854465478 | ||||||||
| Practice Location | |||||||||
| Address1: | 710 3RD ST | ||||||||
| Address2: | |||||||||
| City: | MORGAN CITY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 703803505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9853546130 | ||||||||
| FaxNumber: | 9853546086 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2015 | ||||||||
| LastUpdateDate: | 11/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 6390 | LA | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 6390 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.