MEDICARE: STEPHANIE OROZCO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1306445358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE OROZCO LPC

Provider Business Mailing Address
First Line	:	3833 CUMMINS ST APT 1448
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5875
Country	:	US
Telephone Number	:	832-786-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	3833 CUMMINS ST APT 1448
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5875
Country	:	US
Telephone Number	:	832-786-8855
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE OROZCO
Credential	:	LPC
Telephone Number	:	832-786-8855

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	01/27/2021

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