Provider Demographics
NPI:1093335614
Name:ORENDORFF, KATHERINE ANN (LCDC MA LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:ORENDORFF
Suffix:
Gender:F
Credentials:LCDC MA LPC-INTERN
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:TILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AB
Mailing Address - Street 1:1314 BROOK GROVE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4434
Mailing Address - Country:US
Mailing Address - Phone:713-392-5602
Mailing Address - Fax:
Practice Address - Street 1:9950 CYPRESSWOOD DR STE 207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3413
Practice Address - Country:US
Practice Address - Phone:281-826-9777
Practice Address - Fax:281-369-6531
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health