Healthcare Provider Details

I. General information

NPI: 1104720812
Provider Name (Legal Business Name): KRISTIN ORDANES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6606 MISTY SPRING LN
SPRING TX
77379-4294
US

IV. Provider business mailing address

6606 MISTY SPRING LN
SPRING TX
77379-4294
US

V. Phone/Fax

Practice location:
  • Phone: 281-825-2778
  • Fax:
Mailing address:
  • Phone: 281-825-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number97361
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: