Provider Demographics
NPI:1942234646
Name:NORRIS, KRISTY (LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:TERHUNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 TRAVIS ST STE 105
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-8605
Mailing Address - Country:US
Mailing Address - Phone:214-998-9252
Mailing Address - Fax:
Practice Address - Street 1:209 TRAVIS ST STE 105
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-8605
Practice Address - Country:US
Practice Address - Phone:214-998-9252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS305106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist