Provider Demographics
NPI:1164991014
Name:TURMEL, CALEB PETER
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:PETER
Last Name:TURMEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 WINONA AVE SW # B
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-5325
Mailing Address - Country:US
Mailing Address - Phone:704-438-7852
Mailing Address - Fax:
Practice Address - Street 1:3511 W MARKET ST STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4442
Practice Address - Country:US
Practice Address - Phone:336-852-3800
Practice Address - Fax:336-852-5725
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11628101Y00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No101Y00000XBehavioral Health & Social Service ProvidersCounselor