Provider Demographics
NPI:1699953133
Name:NORMAN, STEVEN WILLIAM (LPC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WILLIAM
Last Name:NORMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 GODLEY PARK WAY
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-3972
Mailing Address - Country:US
Mailing Address - Phone:912-748-4454
Mailing Address - Fax:
Practice Address - Street 1:215 E COURT ST
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3606
Practice Address - Country:US
Practice Address - Phone:912-876-4010
Practice Address - Fax:912-369-2262
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health