Provider Demographics
NPI:1720274707
Name:NORRIS, JAMES M (LMFT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:NORRIS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4257 SULLIVAN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-1626
Mailing Address - Country:US
Mailing Address - Phone:256-461-8580
Mailing Address - Fax:
Practice Address - Street 1:4257 SULLIVAN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1626
Practice Address - Country:US
Practice Address - Phone:256-461-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLMFT126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-12714OtherBLUE CROSS BLUE SHIELD