Healthcare Provider Details

I. General information

NPI: 1992062996
Provider Name (Legal Business Name): WHITNEY NORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 FINANCIAL CTR, #290
LITTLE ROCK AR
72211
US

IV. Provider business mailing address

10800 FINANCIAL CTR, #290
LITTLE ROCK AR
72211
US

V. Phone/Fax

Practice location:
  • Phone: 501-781-2230
  • Fax: 888-816-7916
Mailing address:
  • Phone: 501-781-2230
  • Fax: 888-816-7916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA1202004
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: