Provider Demographics
NPI:1508284928
Name:ORR, SYLVANNAH (LPC-A)
Entity Type:Individual
Prefix:
First Name:SYLVANNAH
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SW CENTER STREET
Mailing Address - Street 2:
Mailing Address - City:MT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365-3344
Mailing Address - Country:US
Mailing Address - Phone:919-635-3344
Mailing Address - Fax:919-635-3388
Practice Address - Street 1:202 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3322
Practice Address - Country:US
Practice Address - Phone:910-528-0792
Practice Address - Fax:910-582-0793
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10729101YM0800X
NJ37AC00145500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health