Provider Demographics
NPI:1710003025
Name:ORBAN, LOUIS JOSEPH (MSW, MPH, P-LCSW)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:JOSEPH
Last Name:ORBAN
Suffix:
Gender:M
Credentials:MSW, MPH, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6414 STREETER DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-2179
Mailing Address - Country:US
Mailing Address - Phone:910-424-6231
Mailing Address - Fax:
Practice Address - Street 1:2712 FORT BRAGG RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4721
Practice Address - Country:US
Practice Address - Phone:910-424-2020
Practice Address - Fax:910-424-8435
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0036041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical