1861501876 NPI number — MS. MARIE R. TURCICH LPC, LMFT, LSSP

Table of content: LEI XU DO (NPI 1922469808)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861501876 NPI number — MS. MARIE R. TURCICH LPC, LMFT, LSSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURCICH
Provider First Name:
MARIE
Provider Middle Name:
R.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, LMFT, LSSP
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:
1861501876
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3131 EASTSIDE STREET
Provider Second Line Business Mailing Address:
SUITE 435
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77098-1947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-721-7702
Provider Business Mailing Address Fax Number:
713-520-8083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3131 EASTSIDE STREET
Provider Second Line Business Practice Location Address:
SUITE 435
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77098-1947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-721-7702
Provider Business Practice Location Address Fax Number:
713-520-8083
Provider Enumeration Date:
08/30/2006

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: 101YP2500X , with the licence number:  11808 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TS0200X , with the licence number: 5873 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 003093-020335 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2454LC . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: TURCI-0001 . This is a "COMPCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10020439 . This is a "AMERIGROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10659965121 . This is a "HUMANA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 026069701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 096482 . This is a "VALUEOPTIONS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 257943000 . This is a "MAGELLAN BEHAVIORAL HEALT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 741613878-966B . This is a "TX CHILDRENS HEALTH PLAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7752198 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 100098628001 . This is a "APS HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 273166 . This is a "COMPSYCH CORP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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