Basic Information
Provider Information
NPI: 1780310292
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: VY
MiddleName: NGUYEN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16378 E OTERO AVE
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801124621
CountryCode: US
TelephoneNumber: 7037984286
FaxNumber:  
Practice Location
Address1: 12150 E BRIARWOOD AVE
Address2:  
City: CENTENNIAL
State: CO
PostalCode: 801126756
CountryCode: US
TelephoneNumber: 7206627862
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2022
LastUpdateDate: 07/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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