Provider Demographics
NPI:1821975004
Name:ORNELAS, MARCO ANTONIO (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MARCO
Middle Name:ANTONIO
Last Name:ORNELAS
Suffix:
Gender:M
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13806 RIO CONCHOS RD
Mailing Address - Street 2:
Mailing Address - City:CLINT
Mailing Address - State:TX
Mailing Address - Zip Code:79836-2201
Mailing Address - Country:US
Mailing Address - Phone:915-764-8546
Mailing Address - Fax:
Practice Address - Street 1:444 EXECUTIVE CENTER BLVD STE 234
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1023
Practice Address - Country:US
Practice Address - Phone:915-504-4449
Practice Address - Fax:915-779-9989
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional