Provider Demographics
NPI:1316931348
Name:TURNER, ALICE RENEE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:RENEE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 INDEPENDENCE STE 227
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39710-5300
Mailing Address - Country:US
Mailing Address - Phone:662-434-2292
Mailing Address - Fax:662-434-2295
Practice Address - Street 1:201 INDEPENDENCE STE 227
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39710-5300
Practice Address - Country:US
Practice Address - Phone:662-434-2292
Practice Address - Fax:662-434-2295
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0027951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACSW002795OtherCLINICAL SOCIAL WORK
MS1487630356OtherFACILITY (14 MDG) NPI