Provider Demographics
NPI:1447478185
Name:TURNER, CAROLYN S (LPC)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:S
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11230 WEST AVE STE 1105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1359
Mailing Address - Country:US
Mailing Address - Phone:210-859-5888
Mailing Address - Fax:
Practice Address - Street 1:11230 WEST AVE STE 1103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1359
Practice Address - Country:US
Practice Address - Phone:210-859-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11276101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2894LCOtherBCBS INS. PROVIDER ID
TX096032001Medicaid