Provider Demographics
NPI:1811356777
Name:JOYCE ORR PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:JOYCE ORR PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:352-262-4331
Mailing Address - Street 1:122 SW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1433
Mailing Address - Country:US
Mailing Address - Phone:352-262-4331
Mailing Address - Fax:855-800-9120
Practice Address - Street 1:4131 NW 28TH LN
Practice Address - Street 2:SUITE 5
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7432
Practice Address - Country:US
Practice Address - Phone:352-262-4331
Practice Address - Fax:855-800-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2133251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103TP2700XOtherLICENSED MARRIAGE AND FAMILY THERAPIST
FLMT2133OtherSTATE OF FLORIDA