Provider Demographics
NPI:1619059151
Name:TURAY, REBECCA CORINNE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:CORINNE
Last Name:TURAY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 HEATHER GLEN CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-4245
Mailing Address - Country:US
Mailing Address - Phone:636-332-4487
Mailing Address - Fax:636-639-6755
Practice Address - Street 1:1000 LAKE SAINT LOUIS BLVD
Practice Address - Street 2:STE 204
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1340
Practice Address - Country:US
Practice Address - Phone:636-561-5673
Practice Address - Fax:636-639-6755
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0046401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2195023OtherCIGNA PIN FOR 'GM' EMPLOY
MO0007582461OtherAETNA PIN NUMBER
MOSW004640OtherLICENSE FOR LCSW
MO188028OtherBC/BS PIN NUMBER
MO221197OtherCOM PSYCH PIN NUMBER
MO6259832OtherUNITED HEALTH CARE PIN
MO277588OtherVALUE OPTIONS PIN