Provider Demographics
NPI:1841825320
Name:ORIA LLC
Entity type:Organization
Organization Name:ORIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:ELIZA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-487-8295
Mailing Address - Street 1:PO BOX 493
Mailing Address - Street 2:
Mailing Address - City:WEST HYANNISPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02672-0493
Mailing Address - Country:US
Mailing Address - Phone:774-487-8295
Mailing Address - Fax:
Practice Address - Street 1:76 W MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3752
Practice Address - Country:US
Practice Address - Phone:508-534-8709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1790203834OtherNPI