MEDICARE: QUINTELL PRICE-TURNER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	15931	LA

General Provider Information

NPI Number	:	1548632227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINTELL PRICE-TURNER LCSW

Provider Business Mailing Address
First Line	:	235 CHARLES EDWARD CT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71302-5211
Country	:	US
Telephone Number	:	318-644-0024
Fax Number	:

Provider Business Practice Location Address
First Line	:	9116 WESTVIEW DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-5831
Country	:	US
Telephone Number	:	318-644-0024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	02/14/2024

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