Provider Demographics
NPI:1326403981
Name:ORAN L. PRYOR MA, LPC
Entity Type:Organization
Organization Name:ORAN L. PRYOR MA, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:ORAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-948-6136
Mailing Address - Street 1:104 SPINNER RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4430
Mailing Address - Country:US
Mailing Address - Phone:972-948-6136
Mailing Address - Fax:972-767-0044
Practice Address - Street 1:104 SPINNER RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4430
Practice Address - Country:US
Practice Address - Phone:972-948-6136
Practice Address - Fax:972-767-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty