Healthcare Provider Details

I. General information

NPI: 1457325912
Provider Name (Legal Business Name): JOY MIRIAM WHITAKER-ORR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY W ORR LCSW

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14690 SPRING HILL DR STE #201
SPRING HILL FL
34609-8102
US

IV. Provider business mailing address

15215 CORTEZ BLVD
BROOKSVILLE FL
34613-6072
US

V. Phone/Fax

Practice location:
  • Phone: 352-397-4481
  • Fax: 352-799-2215
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-799-2215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR038912-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPSW790
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: