Provider Demographics
NPI:1770375081
Name:TURNER, PAMELA M (MPA, QP, NCPSS)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:MPA, QP, NCPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37775 HIGHWAY 52N
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NC
Mailing Address - Zip Code:28127
Mailing Address - Country:US
Mailing Address - Phone:336-965-2145
Mailing Address - Fax:
Practice Address - Street 1:315 SPRING GARDEN ST UNIT 1B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2767
Practice Address - Country:US
Practice Address - Phone:336-965-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1992591465Medicaid