Provider Demographics
NPI:1558134924
Name:TURNER, RAVEN (LSW)
Entity Type:Individual
Prefix:
First Name:RAVEN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 STACKHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-6902
Mailing Address - Country:US
Mailing Address - Phone:678-517-3666
Mailing Address - Fax:
Practice Address - Street 1:1812 STACKHOUSE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-6902
Practice Address - Country:US
Practice Address - Phone:678-517-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker