Provider Demographics
NPI:1558842831
Name:TURNER, LATERRIAR (LCSW)
Entity Type:Individual
Prefix:
First Name:LATERRIAR
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 1:1261 S BROOK RD
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5759
Mailing Address - Country:US
Mailing Address - Phone:910-508-5390
Mailing Address - Fax:
Practice Address - Street 1:925 S KERR AVE STE F4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4335
Practice Address - Country:US
Practice Address - Phone:910-759-5590
Practice Address - Fax:910-769-0441
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20262101YA0400X
NCP0127861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)