Provider Demographics
NPI:1215267901
Name:TURNER, MICHELLE R (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 HAMMOND BUSINESS PL
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-3666
Mailing Address - Country:US
Mailing Address - Phone:919-899-6259
Mailing Address - Fax:919-838-9074
Practice Address - Street 1:3040 HAMMOND BUSINESS PL
Practice Address - Street 2:SUITE 105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3666
Practice Address - Country:US
Practice Address - Phone:919-899-6259
Practice Address - Fax:919-838-9074
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical