Provider Demographics
NPI:1164020848
Name:TURNER, CARLEIGH J (LCSW)
Entity type:Individual
Prefix:
First Name:CARLEIGH
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241B BRENDALWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-6162
Mailing Address - Country:US
Mailing Address - Phone:601-586-1016
Mailing Address - Fax:
Practice Address - Street 1:601 RENAISSANCE WAY
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-6038
Practice Address - Country:US
Practice Address - Phone:601-586-1016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC72331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical