La Shawn Ellen Turner-Whittie | Oakland, CA • PECOS Search

La Shawn Ellen Turner-Whittie

Counselor

Behavioral Health & Social Service Providers

3837 Telegraph Ave, Oakland, CA 94609-2419

(510) 450-1190 (510) 637-9026

PECOS Enrollment

Based on the most recent information from CMS, provider La Shawn Ellen Turner-Whittie does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1457912917
Provider Type
Individual
Full Name
Turner-Whittie, La Shawn Ellen
Credential
AOD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/25/2019
Last Updated
6/25/2019

Contact Information

Practice Location

3837 Telegraph Ave, Oakland, CA 94609-2419

(510) 655-3520

Mailing Location

3532 Seminary Ave, Oakland, CA 94605-1838

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer