Provider Demographics
NPI:1013428580
Name:TURNER, LARRY DELL (CERTIFIED LIFE COACH)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:DELL
Last Name:TURNER
Suffix:
Gender:M
Credentials:CERTIFIED LIFE COACH
Other - Prefix:MR
Other - First Name:LARRY
Other - Middle Name:D
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:USAR COLONEL RETIRED
Mailing Address - Street 1:PO BOX 240672
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-0672
Mailing Address - Country:US
Mailing Address - Phone:334-301-1999
Mailing Address - Fax:
Practice Address - Street 1:600 S COURT ST STE 312
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-4106
Practice Address - Country:US
Practice Address - Phone:334-301-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3167621174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist