Provider Demographics
NPI:1861087702
Name:NORRIS, ALEX MICHEAL TUTTS (LCMHCA)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:MICHEAL TUTTS
Last Name:NORRIS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:MICHEAL
Other - Last Name:TUTTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHCA
Mailing Address - Street 1:523 ROCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3615
Mailing Address - Country:US
Mailing Address - Phone:910-562-9882
Mailing Address - Fax:
Practice Address - Street 1:523 ROCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3615
Practice Address - Country:US
Practice Address - Phone:910-562-9882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional