Provider Demographics
NPI:1528305885
Name:URAN, CORI A (LPC)
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:A
Last Name:URAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 CAROLDEAN CT
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76117-1201
Mailing Address - Country:US
Mailing Address - Phone:817-896-3174
Mailing Address - Fax:
Practice Address - Street 1:5000 CAROLDEAN CT
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76117-1201
Practice Address - Country:US
Practice Address - Phone:817-896-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional