Provider Demographics
NPI:1154060606
Name:NORTON, KACY
Entity type:Individual
Prefix:
First Name:KACY
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7442 KLIPSPRINGER DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2354
Mailing Address - Country:US
Mailing Address - Phone:719-423-7428
Mailing Address - Fax:
Practice Address - Street 1:802 CHAPEL HILLS DR SUITE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-465-0900
Practice Address - Fax:719-623-0370
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional