Provider Demographics
NPI:1508288770
Name:TURNER, LEONA (LCSW)
Entity Type:Individual
Prefix:
First Name:LEONA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 GREEN VALLEY RD STE 302
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7096
Mailing Address - Country:US
Mailing Address - Phone:910-632-4366
Mailing Address - Fax:
Practice Address - Street 1:3407 W WENDOVER AVE STE C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1584
Practice Address - Country:US
Practice Address - Phone:336-294-5323
Practice Address - Fax:336-217-7990
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0073681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical