=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588530711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURN AROUND BEHAVIORAL HEALTH & RECOVERY SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2025
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 222 S SWING RD STE 1 ROOM 1
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27409-2024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-430-2296
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1310 KINGSPORT RD
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27406-3818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-430-2296
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER / MANAGER
-----------------------------------------------------
Name | SHAUNTA STAPLES
-----------------------------------------------------
Credential | BACHELORS, CPSS
-----------------------------------------------------
Telephone | 704-430-2296
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------