Provider Demographics
NPI:1679843528
Name:ORR, KRISTIN LEAH (LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:LEAH
Last Name:ORR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:431 OHIO PIKE STE 214
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3629
Mailing Address - Country:US
Mailing Address - Phone:513-655-4770
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE STE 214
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3629
Practice Address - Country:US
Practice Address - Phone:513-655-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.177598101YA0400X
OH12416225700000X
101200000X
OHC.2405892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No101200000XBehavioral Health & Social Service ProvidersDrama Therapist