Healthcare Provider Details

I. General information

NPI: 1679843528
Provider Name (Legal Business Name): KRISTIN LEAH ORR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 OHIO PIKE STE 214
CINCINNATI OH
45255-3629
US

IV. Provider business mailing address

431 OHIO PIKE STE 214
CINCINNATI OH
45255-3629
US

V. Phone/Fax

Practice location:
  • Phone: 513-655-4770
  • Fax:
Mailing address:
  • Phone: 513-655-4770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.177598
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12416
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2405892
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: