Healthcare Provider Details

I. General information

NPI: 1750710372
Provider Name (Legal Business Name): NORRIS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 HENDERSON AVE
CUMBERLAND MD
21502-1562
US

IV. Provider business mailing address

16241 HARWOOD DR SW
FROSTBURG MD
21532-3528
US

V. Phone/Fax

Practice location:
  • Phone: 301-724-7277
  • Fax: 301-724-7022
Mailing address:
  • Phone: 301-876-3475
  • Fax: 301-724-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberLC1915
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA DAWN NORRIS
Title or Position: OWNER
Credential: LCPC
Phone: 301-876-3475