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Provider Information for 1891385860


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Mr. ROBERT L TURNER III LPC


Sex: Male

NPI: 1891385860
Last Updated: 2021-01-22
Certification Date: 2021-01-22

Details

NameValue
NPI1891385860
Enumeration Date2021-01-22
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 1214
DOUGLASVILLE, GA 30133-1214
United States

Phone: 678-467-0071 | Fax:
 
Primary Practice Address 4817 WINTERVIEW LN
DOUGLASVILLE, GA 30135-1990
United States

Phone: 678-467-0071 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthGALPC011957