Provider Demographics
NPI:1336440429
Name:ORTEGON CONSULTANTS PLLC
Entity type:Organization
Organization Name:ORTEGON CONSULTANTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:ORTEGON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-546-7041
Mailing Address - Street 1:PO BOX 50524
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0524
Mailing Address - Country:US
Mailing Address - Phone:214-546-7041
Mailing Address - Fax:940-293-0681
Practice Address - Street 1:3713 STARDUST LN
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2208
Practice Address - Country:US
Practice Address - Phone:214-546-7041
Practice Address - Fax:940-293-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty