1558561555 NPI number — TURNING POINT COUNSELING CENTER, PLLC

Table of content: MISS COURTNEY ELIZABETH HENRICK (NPI 1154519718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558561555 NPI number — TURNING POINT COUNSELING CENTER, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNING POINT COUNSELING CENTER, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558561555
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18517 POND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABINGDON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24211-7609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-780-0031
Provider Business Mailing Address Fax Number:
276-628-4512

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
172 APPLE VALLEY RD
Provider Second Line Business Practice Location Address:
CHILHOWIE CHRISTIAN CHURCH
Provider Business Practice Location Address City Name:
CHILHOWIE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-780-0031
Provider Business Practice Location Address Fax Number:
276-628-4512
Provider Enumeration Date:
07/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LOWRY
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
KEITH
Authorized Official Title or Position:
PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
276-780-0031

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701002871 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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