Provider Demographics
NPI:1114529914
Name:CHRIS T LORENC PC
Entity Type:Organization
Organization Name:CHRIS T LORENC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LORENC
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-313-5742
Mailing Address - Street 1:14651 DALLAS PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8899
Mailing Address - Country:US
Mailing Address - Phone:972-313-5742
Mailing Address - Fax:
Practice Address - Street 1:14651 DALLAS PKWY STE 106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8899
Practice Address - Country:US
Practice Address - Phone:972-313-5742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty