Provider Demographics
NPI:1134162050
Name:OROURKE, MARIE FRANCES (LPC)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:FRANCES
Last Name:OROURKE
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 1:11435 FARNAM CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3132
Mailing Address - Country:US
Mailing Address - Phone:402-330-6596
Mailing Address - Fax:
Practice Address - Street 1:2132 S 42ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2910
Practice Address - Country:US
Practice Address - Phone:402-558-1858
Practice Address - Fax:402-558-8970
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health