Healthcare Provider Details

I. General information

NPI: 1770884215
Provider Name (Legal Business Name): TURNING POINT FAMILY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 YONKERS RD
RALEIGH NC
27604-2258
US

IV. Provider business mailing address

PO BOX 58496
RALEIGH NC
27658-8496
US

V. Phone/Fax

Practice location:
  • Phone: 919-896-7536
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA NICOLE DOCKERY
Title or Position: CREDENTIALING SUPERVISOR
Credential:
Phone: 828-837-0071