Provider Demographics
NPI:1578634846
Name:NORRIS, LORI ANNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANNE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10939 KENMORE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-6039
Mailing Address - Country:US
Mailing Address - Phone:813-464-0846
Mailing Address - Fax:727-236-6742
Practice Address - Street 1:2753 STATE ROAD 580
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3355
Practice Address - Country:US
Practice Address - Phone:813-464-0846
Practice Address - Fax:727-236-6742
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 3501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7610203 00Medicaid