Norris, Timothy A

Norris, Timothy A is an sole proprietor health care provider with primary practice located at 5026 Raintree Dr , Jackson MS 39272-5753. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Norris, Timothy A can be contacted via phone (601) 955-0187.

Contact Information

Primary practice address
5026 Raintree Dr Jackson MS 39272-5753
Phone: (601) 955-0187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Mississippi
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1154960961
LBN Legal business name Norris, Timothy A
Credentials GC-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2019
Last updated Dec 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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