Healthcare Provider Details

I. General information

NPI: 1508619214
Provider Name (Legal Business Name): JULIE ELISABETH TORRES MA, LPCC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 W 44TH AVE
WHEAT RIDGE CO
80033-3084
US

IV. Provider business mailing address

2040 W 101ST AVE
THORNTON CO
80260-6302
US

V. Phone/Fax

Practice location:
  • Phone: 720-551-4269
  • Fax:
Mailing address:
  • Phone: 720-648-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0021765
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0021765
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0021765
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: