Provider Demographics
NPI:1033996491
Name:TURNBOW, MICHELLINE (MSW)
Entity Type:Individual
Prefix:
First Name:MICHELLINE
Middle Name:
Last Name:TURNBOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WOODCROFT TRL
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-1845
Mailing Address - Country:US
Mailing Address - Phone:954-479-2594
Mailing Address - Fax:
Practice Address - Street 1:9197 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7070
Practice Address - Country:US
Practice Address - Phone:954-479-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW178591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical