Healthcare Provider Details

I. General information

NPI: 1154080851
Provider Name (Legal Business Name): HEATHER ORR LCSW - CSW.09928576
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 09/10/2022
Certification Date: 09/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 REBECCA LN
COLORADO SPRINGS CO
80917-5006
US

IV. Provider business mailing address

6661 MAPLE STONE LN
COLORADO SPRINGS CO
80927-4045
US

V. Phone/Fax

Practice location:
  • Phone: 719-602-0914
  • Fax:
Mailing address:
  • Phone: 719-354-5378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001932
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928576
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: