Healthcare Provider Details

I. General information

NPI: 1538151766
Provider Name (Legal Business Name): JAMES FREDERICK ORWIG LMHP, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 11/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N FREE KING HWY
PITTSBURG KS
66762-8483
US

IV. Provider business mailing address

611 N FREE KING HWY
PITTSBURG KS
66762-8483
US

V. Phone/Fax

Practice location:
  • Phone: 402-880-4752
  • Fax:
Mailing address:
  • Phone: 402-880-4752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3177
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2005
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: