Provider Demographics
NPI:1689989121
Name:ORONA, RICHARD (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:ORONA
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10940 CALDWELL LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-5310
Mailing Address - Country:US
Mailing Address - Phone:817-501-1272
Mailing Address - Fax:
Practice Address - Street 1:10940 CALDWELL LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-5310
Practice Address - Country:US
Practice Address - Phone:817-501-1272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63047101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional