Healthcare Provider Details

I. General information

NPI: 1316931348
Provider Name (Legal Business Name): ALICE RENEE TURNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 INDEPENDENCE STE 227
COLUMBUS MS
39710-5300
US

IV. Provider business mailing address

201 INDEPENDENCE STE 227
COLUMBUS MS
39710-5300
US

V. Phone/Fax

Practice location:
  • Phone: 662-434-2292
  • Fax: 662-434-2295
Mailing address:
  • Phone: 662-434-2292
  • Fax: 662-434-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW002795
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: