Provider Demographics
NPI:1265994453
Name:TURBETT, CRYSTAL E (LLMSW)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:E
Last Name:TURBETT
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31701 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-8958
Mailing Address - Country:US
Mailing Address - Phone:734-686-7231
Mailing Address - Fax:
Practice Address - Street 1:31701 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-8958
Practice Address - Country:US
Practice Address - Phone:734-686-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68020897301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical