Provider Demographics
NPI:1073979282
Name:ORONA, KIM LEE (MS, LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:LEE
Last Name:ORONA
Suffix:
Gender:F
Credentials:MS, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 S STAPLES ST
Mailing Address - Street 2:STE 700
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4646
Mailing Address - Country:US
Mailing Address - Phone:361-814-2001
Mailing Address - Fax:361-883-1998
Practice Address - Street 1:5633 S STAPLES ST
Practice Address - Street 2:STE 700
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4646
Practice Address - Country:US
Practice Address - Phone:361-814-2001
Practice Address - Fax:361-883-1998
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13487101YA0400X
TX71091101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health