1568548378 NPI number — MRS. APRIL NICOLE SORTE TURVILLE LCSW

Table of content: MRS. APRIL NICOLE SORTE TURVILLE LCSW (NPI 1568548378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568548378 NPI number — MRS. APRIL NICOLE SORTE TURVILLE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURVILLE
Provider First Name:
APRIL NICOLE
Provider Middle Name:
SORTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TURVILLE
Provider Other First Name:
NICOLE
Provider Other Middle Name:
SORTE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1568548378
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6698 S HIDDEN MILL CV
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COTTONWOOD HEIGHTS
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84121-5698
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-641-1055
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
138 B AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORONADO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92118-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-641-1055
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  5572980-3502 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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