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NPI 1285179184

NPI 1285179184 : MARIA 'MAGGIE' ORONA, LPC-S, PLLC : COLLEYVILLE, TX

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General NPI Number Information
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    NPI Number           |    1285179184
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARIA 'MAGGIE' ORONA, LPC-S, PLLC 
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Dates
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    Enumeration Date     |    12/31/2016
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    Last Update Date     |    12/31/2016
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Provider Practice Location Address
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    Address Line         |    5209 HERITAGE AVE SUITE 210
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-5987
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    Country              |    US
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    Telephone            |    817-545-7100
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    Fax                  |    817-545-4555
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Provider Business Mailing Address
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    Address Line         |    5209 HERITAGE AVE SUITE 210
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-5987
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    Country              |    US
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    Telephone            |    817-545-7100
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    Fax                  |    817-545-4555
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     MARIA M. ORONA 
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    Credential           |    LPC-S
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    Telephone            |    817-545-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    17491
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    License Number State |    TX
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