Provider Demographics
NPI:1821378860
Name:BOXIE, ORA L (RN, MA, CCC)
Entity Type:Individual
Prefix:
First Name:ORA
Middle Name:L
Last Name:BOXIE
Suffix:
Gender:F
Credentials:RN, MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 GRAND PLANTATION LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2386
Mailing Address - Country:US
Mailing Address - Phone:281-403-6058
Mailing Address - Fax:
Practice Address - Street 1:4118 GRAND PLANTATION LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2386
Practice Address - Country:US
Practice Address - Phone:281-728-2793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCCC#100-11087101Y00000X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral