Provider Demographics
NPI:1053786111
Name:TURNER, TERRICA BRITTANY (BS)
Entity type:Individual
Prefix:MRS
First Name:TERRICA
Middle Name:BRITTANY
Last Name:TURNER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:115 CHIMNEY ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8064
Mailing Address - Country:US
Mailing Address - Phone:337-326-0659
Mailing Address - Fax:337-340-9280
Practice Address - Street 1:114 CURRAN LN STE A-1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-7222
Practice Address - Country:US
Practice Address - Phone:337-703-3037
Practice Address - Fax:337-340-9280
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA009719906101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator