Healthcare Provider Details

I. General information

NPI: 1053295428
Provider Name (Legal Business Name): CELENA YVETTE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELENA YVETTE KITHCART

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 US 421 S
LILLINGTON NC
27546-6713
US

IV. Provider business mailing address

284 EXECUTIVE PARK DR STE 100
CONCORD NC
28025-1833
US

V. Phone/Fax

Practice location:
  • Phone: 910-893-5727
  • Fax: 910-893-6404
Mailing address:
  • Phone: 704-939-1100
  • Fax: 704-939-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022421
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: