Provider Demographics
NPI:1427455120
Name:MONROE, ORION (LPCC)
Entity type:Individual
Prefix:
First Name:ORION
Middle Name:
Last Name:MONROE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10534 SUCCESS LN
Mailing Address - Street 2:MEN'S MENTAL HEALTH INITIATIVE, SUITE E
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3655
Mailing Address - Country:US
Mailing Address - Phone:937-532-6244
Mailing Address - Fax:937-919-5509
Practice Address - Street 1:10534 SUCCESS LN
Practice Address - Street 2:MEN'S MENTAL HEALTH INITIATIVE, SUITE E
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-3655
Practice Address - Country:US
Practice Address - Phone:937-532-6244
Practice Address - Fax:937-919-5509
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 1300796101YP2500X
OH160697101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)