Provider Demographics
NPI:1629688155
Name:NORTON, UNIQUA RENEE (PLPC)
Entity type:Individual
Prefix:
First Name:UNIQUA
Middle Name:RENEE
Last Name:NORTON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 POLK ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71052-2452
Mailing Address - Country:US
Mailing Address - Phone:318-871-5566
Mailing Address - Fax:318-871-1076
Practice Address - Street 1:809 POLK ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2452
Practice Address - Country:US
Practice Address - Phone:318-871-5566
Practice Address - Fax:318-871-1076
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health