Provider Demographics
NPI:1215045380
Name:ORR, JOYCE CORNWELL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:CORNWELL
Last Name:ORR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1433
Mailing Address - Country:US
Mailing Address - Phone:352-262-4331
Mailing Address - Fax:352-375-5573
Practice Address - Street 1:4820 SW 91ST TER
Practice Address - Street 2:SUITE Q-101
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-6034
Practice Address - Country:US
Practice Address - Phone:352-262-4331
Practice Address - Fax:352-375-5573
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist