MEDICARE: TORRES COUNSELING CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1619680691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORRES COUNSELING CENTER PLLC

Provider Business Mailing Address
First Line	:	10401 S MASON RD UNIT B204
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5913
Country	:	US
Telephone Number	:	832-583-1166
Fax Number	:	832-979-2917

Provider Business Practice Location Address
First Line	:	10401 S MASON RD UNIT B204
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5913
Country	:	US
Telephone Number	:	832-583-1166
Fax Number	:	832-979-2917

Authorized Official
Title or Position	:	OWNER
Name	:	LORENA TORRES
Credential	:	LPC
Telephone Number	:	832-583-1166

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	01/04/2023

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