1083348783 NPI number — MS. RAVZA OZTURK M.ED., LPC

Table of content: MS. RAVZA OZTURK M.ED., LPC (NPI 1083348783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083348783 NPI number — MS. RAVZA OZTURK M.ED., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OZTURK
Provider First Name:
RAVZA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083348783
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4065 CANE RIDGE PKWY APT 405
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANTIOCH
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37013-5171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-370-9011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SUMMIT ONE BUILDING 4700 ROCKSIDE ROAD
Provider Second Line Business Practice Location Address:
SUITE 135
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-518-8334
Provider Business Practice Location Address Fax Number:
440-628-8123
Provider Enumeration Date:
07/11/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  C.2204194 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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