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General NPI Number Information
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NPI Number | 1992513212
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Entity Type | Organization
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Legal Business Name | DIRCE N ORTIZ MA LPC PLLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2855 MANGUM RD STE 572
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City | HOUSTON
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State | TX
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Zip | 77092-7553
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Country | US
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Telephone | 832-951-3685
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Fax | 281-741-3861
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Provider Business Mailing Address
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Address Line | 2855 MANGUM RD STE 572
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City | HOUSTON
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State | TX
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Zip | 77092-7553
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Country | US
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Telephone | 832-951-3685
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Fax | 281-741-3861
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Authorized Official
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Title or Position | OWNER
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Name | DIRCE ORTIZ
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Credential |
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Telephone | 832-951-3685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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