Provider Demographics
NPI:1851141014
Name:POWELL-NORRIS, TRISHA DEE
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:DEE
Last Name:POWELL-NORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 CROSSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-9414
Mailing Address - Country:US
Mailing Address - Phone:513-400-7008
Mailing Address - Fax:
Practice Address - Street 1:1616 CROSSTOWN RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-9414
Practice Address - Country:US
Practice Address - Phone:513-400-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)