Provider Demographics
NPI:1528378775
Name:CORNELIA K TURNBOW LLC
Entity Type:Organization
Organization Name:CORNELIA K TURNBOW LLC
Other - Org Name:CORNELIA TURNBOW LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORNELIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURNBOW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:256-880-8202
Mailing Address - Street 1:10217 MELANIE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803
Mailing Address - Country:US
Mailing Address - Phone:256-656-2378
Mailing Address - Fax:
Practice Address - Street 1:1104-B GLENEAGLES DRIVE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-880-8202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0079C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS03029Medicare UPIN