Provider Demographics
NPI:1669596888
Name:NORFLEET, ERNESTINE DEMOIS (MA)
Entity type:Individual
Prefix:MS
First Name:ERNESTINE
Middle Name:DEMOIS
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26707 ASHTON DR
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1974
Mailing Address - Country:US
Mailing Address - Phone:313-706-0373
Mailing Address - Fax:
Practice Address - Street 1:10900 HARPER AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-3364
Practice Address - Country:US
Practice Address - Phone:313-579-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007896101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)