Provider Demographics
NPI:1407200363
Name:ORR, MEGAN C (LPCC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:ORR
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 303
Mailing Address - Street 2:
Mailing Address - City:TRUCHAS
Mailing Address - State:NM
Mailing Address - Zip Code:87578-0303
Mailing Address - Country:US
Mailing Address - Phone:505-297-9328
Mailing Address - Fax:
Practice Address - Street 1:835 SPRUCE ST STE CANDD
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-3455
Practice Address - Country:US
Practice Address - Phone:505-747-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional