Healthcare Provider Details

I. General information

NPI: 1538070784
Provider Name (Legal Business Name): CARLEY TURNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 BURTON ST SE STE 301
GRAND RAPIDS MI
49546-4800
US

IV. Provider business mailing address

3970 HERITAGE AVE
OKEMOS MI
48864-3344
US

V. Phone/Fax

Practice location:
  • Phone: 517-507-5892
  • Fax: 517-258-2951
Mailing address:
  • Phone: 517-507-5892
  • Fax: 517-258-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401226618
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: