1831139617 NPI number — MRS. NORMA ANN MORTON-CHERRY LICENSED MENTAL HEAL

Table of content: MRS. NORMA ANN MORTON-CHERRY LICENSED MENTAL HEAL (NPI 1831139617)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831139617 NPI number — MRS. NORMA ANN MORTON-CHERRY LICENSED MENTAL HEAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORTON-CHERRY
Provider First Name:
NORMA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LICENSED MENTAL HEAL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORTON
Provider Other First Name:
NORMA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831139617
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9702 WOODHOLLOW COURT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34655-6019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-375-9529
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7621 LITTLE RD
Provider Second Line Business Practice Location Address:
STE D300
Provider Business Practice Location Address City Name:
NEW PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34654-5567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-849-6261
Provider Business Practice Location Address Fax Number:
727-815-3306
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH6631 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Z063B . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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