Healthcare Provider Details
I. General information
NPI: 1750795522
Provider Name (Legal Business Name): SONIA ALICIA TORRES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/19/2014
Last Update Date: 01/23/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6255 QUEBEC PKWY
COMMERCE CITY CO
80022
US
IV. Provider business mailing address
4340 E KENTUCKY AVE STE 365
GLENDALE CO
80246-2075
US
V. Phone/Fax
- Phone: 303-286-8900
- Fax: 303-286-6755
- Phone: 720-280-8781
- Fax: 303-286-4589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: