Provider Demographics
NPI:1508219650
Name:ORR, MARCI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 ELMWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1004
Mailing Address - Country:US
Mailing Address - Phone:214-773-1170
Mailing Address - Fax:
Practice Address - Street 1:1805 ELMWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1004
Practice Address - Country:US
Practice Address - Phone:214-773-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72992101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional