Provider Demographics
NPI:1457196552
Name:ORR, KENDRA
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:ORR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2741 NW 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2019
Mailing Address - Country:US
Mailing Address - Phone:954-562-8797
Mailing Address - Fax:954-252-4570
Practice Address - Street 1:2741 NW 26TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-2019
Practice Address - Country:US
Practice Address - Phone:954-612-6167
Practice Address - Fax:954-252-4570
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101200000X, 101Y00000X
FL279948101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health