Healthcare Provider Details

I. General information

NPI: 1487705976
Provider Name (Legal Business Name): MARGARET JO NORMAN LPC/ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET JO STANGL

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 07/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 GLENSIDE DR SUITE B
RICHMOND VA
23228-3995
US

IV. Provider business mailing address

1802 MARROIT RD
RICHMOND VA
23229-4231
US

V. Phone/Fax

Practice location:
  • Phone: 804-741-4300
  • Fax: 804-741-5300
Mailing address:
  • Phone: 804-285-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701001599
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000210
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: