Provider Demographics
NPI:1710433362
Name:TURNER, MELISSA (LCSWA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SHEPARD SQ UNIT 904
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4379
Mailing Address - Country:US
Mailing Address - Phone:404-274-6217
Mailing Address - Fax:
Practice Address - Street 1:46 SHEPARD SQ UNIT 904
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4379
Practice Address - Country:US
Practice Address - Phone:404-274-6217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO116551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical