Provider Demographics
NPI:1083071971
Name:EPPS, NORMA (RAC)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:EPPS
Suffix:
Gender:F
Credentials:RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-3718
Mailing Address - Country:US
Mailing Address - Phone:318-574-4776
Mailing Address - Fax:318-574-4164
Practice Address - Street 1:404 E CRAIG ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-3718
Practice Address - Country:US
Practice Address - Phone:318-574-4164
Practice Address - Fax:318-574-4164
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1242101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)