Provider Demographics
NPI:1124339155
Name:NORRIS, LANIESA (MA)
Entity type:Individual
Prefix:
First Name:LANIESA
Middle Name:
Last Name:NORRIS
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 1:12710 BRANT ROCK DR
Mailing Address - Street 2:#2506
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12710 BRANT ROCK DR
Practice Address - Street 2:#2506
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5433
Practice Address - Country:US
Practice Address - Phone:281-455-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional