Healthcare Provider Details

I. General information

NPI: 1316459811
Provider Name (Legal Business Name): TURNING POINT BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 10/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 BELLEVIEW ST
COLUMBIA SC
29201-1810
US

IV. Provider business mailing address

53 DOTTS RD
SALTERS SC
29590-3169
US

V. Phone/Fax

Practice location:
  • Phone: 803-446-5780
  • Fax:
Mailing address:
  • Phone: 803-477-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAKA ABDUL MOUSTAFA-I I
Title or Position: CEO/OWNER
Credential: PH.D
Phone: 803-446-5780