Healthcare Provider Details

I. General information

NPI: 1427975622
Provider Name (Legal Business Name): ORLANDO ROMERO MRC, LPC-A, CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 THAR DESERT DR
CHAPARRAL NM
88081-7152
US

IV. Provider business mailing address

1433 THAR DESERT DR
CHAPARRAL NM
88081-7152
US

V. Phone/Fax

Practice location:
  • Phone: 719-651-2680
  • Fax:
Mailing address:
  • Phone: 719-651-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number102925
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: