Provider Demographics
NPI:1801409628
Name:NORVELL, MICHELLE P (MMFT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:P
Last Name:NORVELL
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MALLORY STATION RD STE 110
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2825
Mailing Address - Country:US
Mailing Address - Phone:615-606-3937
Mailing Address - Fax:
Practice Address - Street 1:301 MALLORY STATION RD STE 110
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2825
Practice Address - Country:US
Practice Address - Phone:615-606-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN85-2773923OtherIRS
TN85-2773923OtherGOVERNMENT