Provider Demographics
NPI:1245580760
Name:NORMAN, KIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KIA
Middle Name:
Last Name:NORMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2322
Mailing Address - Country:US
Mailing Address - Phone:504-309-6380
Mailing Address - Fax:
Practice Address - Street 1:4480 GENERAL DEGAULLE DR STE 104
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6304
Practice Address - Country:US
Practice Address - Phone:504-309-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health