Healthcare Provider Details

I. General information

NPI: 1821923533
Provider Name (Legal Business Name): MARY TURPIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 MORRISON DR
PRINCETON WV
24740-2322
US

IV. Provider business mailing address

108 MORRISON DR
PRINCETON WV
24740-2322
US

V. Phone/Fax

Practice location:
  • Phone: 681-282-5678
  • Fax: 304-362-8244
Mailing address:
  • Phone: 681-282-5678
  • Fax: 304-362-8244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: