Provider Demographics
NPI:1356828438
Name:NORTON, SANDRA HUNT (LCAS-A)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:HUNT
Last Name:NORTON
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7134 EAGLE SPRING DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9195
Mailing Address - Country:US
Mailing Address - Phone:910-485-1703
Mailing Address - Fax:910-435-0962
Practice Address - Street 1:7134 EAGLE SPRING DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348
Practice Address - Country:US
Practice Address - Phone:910-485-1703
Practice Address - Fax:910-435-0962
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24712101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)