Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Melvin Thomas Norman Jr., BA/LADAC2/QCS/NCAC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013421130

Mr. Melvin Thomas Norman Jr., BA/LADAC2/QCS/NCAC1 is an Undefined Non-Physician Type (Specify) in Memphis, Tennessee. Qualified in 1992, 34 years ago. Licensed in Tennessee.

Years since qualifying
34
Licensed in
TN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

119 Racine St Ste 105
Memphis, TN 38111-2729
Phone: (901) 230-4047
Fax: (901) 443-5089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LDC0000000722 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 722 (TN)

Record details

NPI number1013421130
Entity typeIndividual (Type 1)
GenderMale
Credentials BA/LADAC2/QCS/NCAC1
Sole proprietorNo
NPI enumeratedNovember 28, 2017
Last updated in NPPESApril 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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