Healthcare Provider Details

I. General information

NPI: 1528201852
Provider Name (Legal Business Name): A TURNING POINT COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 06/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 COMMONWEALTH AVE SUITE 106
CHARLOTTE NC
28205-5100
US

IV. Provider business mailing address

2121 COMMONWEALTH AVE STE 106
CHARLOTTE NC
28205-5142
US

V. Phone/Fax

Practice location:
  • Phone: 704-379-1960
  • Fax: 704-379-1914
Mailing address:
  • Phone: 704-379-1960
  • Fax: 704-379-1914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number725
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4936
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4936
License Number StateNC

VIII. Authorized Official

Name: MR. SAMUEL ELOCHUKWU NDUPU
Title or Position: CEO
Credential: LPC. LCAS, CCS, LPCS
Phone: 704-379-1960