Healthcare Provider Details

I. General information

NPI: 1164292520
Provider Name (Legal Business Name): NICHOLAS JAMES TORREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 ESTRELLA AVE
LOVELAND CO
80538-3522
US

IV. Provider business mailing address

1661 ESTRELLA AVE
LOVELAND CO
80538-3522
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax: 888-965-4615
Mailing address:
  • Phone: 970-310-3406
  • Fax: 888-965-4615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014688
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: