Healthcare Provider Details

I. General information

NPI: 1346988656
Provider Name (Legal Business Name): ERLENE J NORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30018 LUNA LAKES DR
SPRING TX
77386-2874
US

IV. Provider business mailing address

30018 LUNA LAKES DR
SPRING TX
77386-2874
US

V. Phone/Fax

Practice location:
  • Phone: 305-804-4498
  • Fax: 999-999-9999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number69359
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: