Provider Demographics
NPI:1174674790
Name:TURPIN, DAVID R (MA, LCAS, CCS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:TURPIN
Suffix:
Gender:M
Credentials:MA, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 POPLARWOOD CT
Mailing Address - Street 2:SUITE # 121
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1084
Mailing Address - Country:US
Mailing Address - Phone:919-906-1150
Mailing Address - Fax:919-874-7441
Practice Address - Street 1:3125 POPLARWOOD CT
Practice Address - Street 2:SUITE #121
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1084
Practice Address - Country:US
Practice Address - Phone:919-906-1150
Practice Address - Fax:919-874-7441
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC#20101YA0400X
NC#184101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6110515Medicaid