Healthcare Provider Details

I. General information

NPI: 1407299936
Provider Name (Legal Business Name): ERIN MICHELLE NORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6171 W CHARLESTON BLVD BLDG 7
LAS VEGAS NV
89146-1126
US

IV. Provider business mailing address

809 PLUMAS ST
YUBA CITY CA
95991-4437
US

V. Phone/Fax

Practice location:
  • Phone: 702-486-5025
  • Fax: 702-486-7759
Mailing address:
  • Phone: 530-822-7478
  • Fax: 530-822-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: