Provider Demographics
NPI:1215078530
Name:ORNA, RODOLFO J (MA, LMFT)
Entity type:Individual
Prefix:
First Name:RODOLFO
Middle Name:J
Last Name:ORNA
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 DARIA DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5021
Mailing Address - Country:US
Mailing Address - Phone:832-524-6321
Mailing Address - Fax:281-531-4946
Practice Address - Street 1:11511 KATY FWY
Practice Address - Street 2:SUITE # 355
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1903
Practice Address - Country:US
Practice Address - Phone:832-524-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5207101YP1600X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8800BHOtherBLUE CROSS BLUE SHIELD
TX182567101Medicaid