Provider Demographics
NPI:1497542146
Name:TURNER, CHRISTINA NICHOLE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:NICHOLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:NICHOLE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:529 ARBOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-4300
Mailing Address - Country:US
Mailing Address - Phone:864-921-0913
Mailing Address - Fax:
Practice Address - Street 1:529 ARBOR CREEK DR
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-4300
Practice Address - Country:US
Practice Address - Phone:864-921-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician