Provider Demographics
NPI:1023140720
Name:NORRIS, PAULA A (MED,LPC,DAPA)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MED,LPC,DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32900 PITCHER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:70462-8334
Mailing Address - Country:US
Mailing Address - Phone:225-294-5955
Mailing Address - Fax:225-294-5955
Practice Address - Street 1:32900 PITCHER RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:LA
Practice Address - Zip Code:70462-8334
Practice Address - Country:US
Practice Address - Phone:225-294-5955
Practice Address - Fax:225-294-5955
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional