Provider Demographics
NPI:1134826092
Name:TURNIPSEED, ANEYSHUA LYNESE (LMSW-C)
Entity type:Individual
Prefix:MS
First Name:ANEYSHUA
Middle Name:LYNESE
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23875 MICHIGAN AVE STE 443
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1805
Mailing Address - Country:US
Mailing Address - Phone:313-304-1946
Mailing Address - Fax:
Practice Address - Street 1:23875 MICHIGAN AVE STE 443
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1805
Practice Address - Country:US
Practice Address - Phone:313-304-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011077481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical