Provider Demographics
NPI:1285313700
Name:TURNER, ALICIA JUANITA
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:JUANITA
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ARUNDEL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-0299
Mailing Address - Country:US
Mailing Address - Phone:919-357-0779
Mailing Address - Fax:
Practice Address - Street 1:2402 S MIAMI BLVD STE 108
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4928
Practice Address - Country:US
Practice Address - Phone:919-572-8833
Practice Address - Fax:919-572-0044
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0191061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical