Provider Demographics
NPI:1831139617
Name:MORTON-CHERRY, NORMA ANN (LICENSED MENTAL HEAL)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:ANN
Last Name:MORTON-CHERRY
Suffix:
Gender:F
Credentials:LICENSED MENTAL HEAL
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9702 WOODHOLLOW COURT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-6019
Mailing Address - Country:US
Mailing Address - Phone:727-375-9529
Mailing Address - Fax:
Practice Address - Street 1:7621 LITTLE RD
Practice Address - Street 2:STE D300
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-5567
Practice Address - Country:US
Practice Address - Phone:727-849-6261
Practice Address - Fax:727-815-3306
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ063BOtherBLUE CROSS BLUE SHIELD