Healthcare Provider Details

I. General information

NPI: 1568835551
Provider Name (Legal Business Name): NORRSON HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2015
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S GARNETT ST SUITE G
HENDERSON NC
27536-4571
US

IV. Provider business mailing address

804 S GARNETT ST SUITE G
HENDERSON NC
27536-4571
US

V. Phone/Fax

Practice location:
  • Phone: 252-738-0009
  • Fax: 919-675-8029
Mailing address:
  • Phone: 252-572-2216
  • Fax: 919-675-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BOBBY N BUTLER
Title or Position: CEO
Credential:
Phone: 252-572-2216