Healthcare Provider Details

I. General information

NPI: 1033446646
Provider Name (Legal Business Name): TURNINGPOINTE HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 W CONE BLVD SUITE 142
GREENSBORO NC
27408-4044
US

IV. Provider business mailing address

PO BOX 1033
GREENSBORO NC
27402-1033
US

V. Phone/Fax

Practice location:
  • Phone: 336-686-1600
  • Fax: 336-697-2997
Mailing address:
  • Phone: 336-686-1600
  • Fax: 336-697-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP004343 & 213199
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberP004343 & 213199
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP004343 & 213199
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberP004343 & 213199
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberP004343 & 213199
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberP004343 & 213199
License Number StateNC

VIII. Authorized Official

Name: MRS. OVEDIA FORD BURT
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential: PLCSW
Phone: 336-868-1600