Provider Demographics
NPI:1053717421
Name:TURNER, SABRINA LEANNE (LPC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:LEANNE
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 1:10427 EAST DUTCH HENRY RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:61542
Mailing Address - Country:US
Mailing Address - Phone:309-868-9634
Mailing Address - Fax:
Practice Address - Street 1:10427 EAST DUTCH HENRY RD
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:IL
Practice Address - Zip Code:61542-1419
Practice Address - Country:US
Practice Address - Phone:309-868-9634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL370923523Medicaid
IL774420Medicare PIN