Provider Demographics
NPI:1679079677
Name:TURSSLINE, VIRGINIA A (LPCMH, NCC)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:A
Last Name:TURSSLINE
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:TURSSLINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCMH
Mailing Address - Street 1:4800 N SCOTTSDALE RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7630
Mailing Address - Country:US
Mailing Address - Phone:302-224-1400
Mailing Address - Fax:302-224-1402
Practice Address - Street 1:735 MAPLETON AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1560
Practice Address - Country:US
Practice Address - Phone:302-224-1400
Practice Address - Fax:302-224-1402
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000850101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional