Worawan Turner Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4984 Issued in MN

Legal business name

WORAWAN TURNER PSYCHOLOGICAL SERVICES LLC

Practice address

4021 Vernon Ave S
Suite 212
St Louis Park, MN 55416-2801

Phone

(952) 222-4491

NPI assigned

Apr 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Worawan C Turner

Title

Owner

Phone

(612) 423-5244

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1902292089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 VERNON AVE S STE 212",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162801",
            "telephone_number": "952-222-4491",
            "fax_number": "952-222-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 VERNON AVE S",
            "address_2": "SUITE 212",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162801",
            "telephone_number": "952-222-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORAWAN TURNER PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "WORAWAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-5244"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.