Provider Demographics
NPI:1871990697
Name:THE TURNING POINT COUNSELING GROUP LLC
Entity type:Organization
Organization Name:THE TURNING POINT COUNSELING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KIRBY
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:321-795-7701
Mailing Address - Street 1:PO BOX 121267
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32912-1267
Mailing Address - Country:US
Mailing Address - Phone:321-795-7701
Mailing Address - Fax:
Practice Address - Street 1:1413 S PATRICK DR
Practice Address - Street 2:SUITE1
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4373
Practice Address - Country:US
Practice Address - Phone:321-795-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty