Provider Demographics
NPI:1124460654
Name:NORRIS COUNSELING SERVICES DBA: APPALACHIAN BEHAVIORAL HEALTH CENTER
Entity type:Organization
Organization Name:NORRIS COUNSELING SERVICES DBA: APPALACHIAN BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCPC
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-724-7277
Mailing Address - Street 1:16241 HARWOOD DR SW
Mailing Address - Street 2:
Mailing Address - City:FROSTBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21532-3528
Mailing Address - Country:US
Mailing Address - Phone:301-724-7277
Mailing Address - Fax:301-724-7022
Practice Address - Street 1:126 W HIGH ST
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MD
Practice Address - Zip Code:21750-1138
Practice Address - Country:US
Practice Address - Phone:301-876-3475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1915101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty