Healthcare Provider Details

I. General information

NPI: 1366942377
Provider Name (Legal Business Name): CHERISH PULZETTE NORMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SCHOOL CIR
HARRISBURG NC
28075-9610
US

IV. Provider business mailing address

7806 PEACH BLOSSOM CT
HARRISBURG NC
28075-8351
US

V. Phone/Fax

Practice location:
  • Phone: 704-287-9618
  • Fax:
Mailing address:
  • Phone: 704-965-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC014435
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: