Provider Demographics
NPI:1457114035
Name:TALLEY, TRANETTE ELNISE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:TRANETTE
Middle Name:ELNISE
Last Name:TALLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 FLETCHER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5752
Mailing Address - Country:US
Mailing Address - Phone:786-547-1585
Mailing Address - Fax:
Practice Address - Street 1:9425 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3251
Practice Address - Country:US
Practice Address - Phone:305-890-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical