Provider Demographics
NPI:1770358848
Name:ODIOR, KORI LYNN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KORI
Middle Name:LYNN
Last Name:ODIOR
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6619 LINWOOD TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2976
Mailing Address - Country:US
Mailing Address - Phone:832-969-3918
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3767
Practice Address - Country:US
Practice Address - Phone:281-903-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92510101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty