1871990697 NPI number — THE TURNING POINT COUNSELING GROUP LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871990697 NPI number — THE TURNING POINT COUNSELING GROUP LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE TURNING POINT COUNSELING GROUP LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1871990697
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 121267
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MELBOURNE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32912-1267
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-795-7701
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1413 S PATRICK DR
Provider Second Line Business Practice Location Address:
SUITE1
Provider Business Practice Location Address City Name:
SATELLITE BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32937-4373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-795-7701
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2014

Additional Information

Authorized Official

Authorized Official Last Name:
WALLACE
Authorized Official First Name:
KRISTIN
Authorized Official Middle Name:
KIRBY
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
321-795-7701

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH10904 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com