Provider Demographics
NPI:1063100154
Name:NORRIS, LEVI DAMON (LMHCA)
Entity type:Individual
Prefix:
First Name:LEVI
Middle Name:DAMON
Last Name:NORRIS
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 60TH AVE NE APT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7963
Mailing Address - Country:US
Mailing Address - Phone:231-715-6034
Mailing Address - Fax:
Practice Address - Street 1:6310 60TH AVE NE APT 205
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7963
Practice Address - Country:US
Practice Address - Phone:231-715-6034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC.61432881103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling