Healthcare Provider Details

I. General information

NPI: 1265222137
Provider Name (Legal Business Name): JOHN WARDLAW ORR LPC ASSOCIATE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 W SLAUGHTER LN STE 130
AUSTIN TX
78748-6904
US

IV. Provider business mailing address

7906 PEACEFUL HILL LN
AUSTIN TX
78748-5507
US

V. Phone/Fax

Practice location:
  • Phone: 512-201-4501
  • Fax:
Mailing address:
  • Phone: 520-336-7894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89954
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: