Provider Demographics
NPI:1528831088
Name:TURMAN, NICOLE (LPC-IT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:TURMAN
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:SHAVONTAE
Other - Last Name:TURMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-IT
Mailing Address - Street 1:2555 N DR MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2709
Mailing Address - Country:US
Mailing Address - Phone:414-372-8080
Mailing Address - Fax:414-267-8570
Practice Address - Street 1:2555 N DR MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2709
Practice Address - Country:US
Practice Address - Phone:414-372-8080
Practice Address - Fax:414-267-8570
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5467101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)