Provider Demographics
NPI:1992513212
Name:DIRCE N ORTIZ MA LPC PLLC
Entity type:Organization
Organization Name:DIRCE N ORTIZ MA LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIRCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-951-3685
Mailing Address - Street 1:2855 MANGUM RD STE 572
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-7553
Mailing Address - Country:US
Mailing Address - Phone:832-951-3685
Mailing Address - Fax:281-741-3861
Practice Address - Street 1:2855 MANGUM RD STE 572
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7553
Practice Address - Country:US
Practice Address - Phone:832-951-3685
Practice Address - Fax:281-741-3861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty