Provider Demographics
NPI:1821297094
Name:NORTON, THOMAS GRAHAM (CCS, LCAS)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:GRAHAM
Last Name:NORTON
Suffix:
Gender:M
Credentials:CCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-0008
Mailing Address - Country:US
Mailing Address - Phone:910-618-1135
Mailing Address - Fax:910-739-3822
Practice Address - Street 1:2501 E ELIZABETHTOWN RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3225
Practice Address - Country:US
Practice Address - Phone:910-618-1135
Practice Address - Fax:910-739-3822
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC243101Y00000X
NC805101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6110534Medicaid