Provider Demographics
NPI:1922712132
Name:NORRIS, ELIZABETH FORD
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:FORD
Last Name: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 1:1004 BRAMBLEWOOD CT NE
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-3836
Mailing Address - Country:US
Mailing Address - Phone:828-455-7059
Mailing Address - Fax:
Practice Address - Street 1:88 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-1934
Practice Address - Country:US
Practice Address - Phone:828-523-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18425101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health