Provider Demographics
NPI:1124386263
Name:GUERSON MANAGEMENT
Entity type:Organization
Organization Name:GUERSON MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA D, PSY
Authorized Official - Phone:252-435-1665
Mailing Address - Street 1:1693 CARATOKE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958
Mailing Address - Country:US
Mailing Address - Phone:252-435-1665
Mailing Address - Fax:252-435-2111
Practice Address - Street 1:237 HANBURY ROAD
Practice Address - Street 2:SUITE 17-198
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322
Practice Address - Country:US
Practice Address - Phone:252-435-1665
Practice Address - Fax:252-435-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-06-2991251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health