Basic Information
| Provider Information | |||||||||
| NPI: | 1982076303 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NORWOOD | ||||||||
| FirstName: | JAMARIUS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 305 DUTCHMAN DR. | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | LOUISIANA | ||||||||
| PostalCode: | 71203 | ||||||||
| CountryCode: | UM | ||||||||
| TelephoneNumber: | 3185370038 | ||||||||
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| Practice Location | |||||||||
| Address1: | 411 COLONIAL DR | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708066506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2259269706 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2015 | ||||||||
| LastUpdateDate: | 06/14/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.