Provider Demographics
NPI:1215175518
Name:TURNER-BALL, STEWART BLAINE (LCSW, LMFT, MAC)
Entity type:Individual
Prefix:MR
First Name:STEWART
Middle Name:BLAINE
Last Name:TURNER-BALL
Suffix:
Gender:M
Credentials:LCSW, LMFT, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-0192
Mailing Address - Country:US
Mailing Address - Phone:812-320-0927
Mailing Address - Fax:
Practice Address - Street 1:127 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-1923
Practice Address - Country:US
Practice Address - Phone:765-342-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002497A1041C0700X
IN35000888A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist