Healthcare Provider Details

I. General information

NPI: 1336070598
Provider Name (Legal Business Name): RICCI DANIELLE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CHARTIER
MARINE CITY MI
48039-2345
US

IV. Provider business mailing address

488 N BELLE RIVER AVE
MARINE CITY MI
48039-1522
US

V. Phone/Fax

Practice location:
  • Phone: 810-420-0140
  • Fax:
Mailing address:
  • Phone: 810-217-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451025007
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: