Healthcare Provider Details

I. General information

NPI: 1972776045
Provider Name (Legal Business Name): SYLVIA TORRES LPC, ICADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYLVIA TORRES LPC,ICADC

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 THE EXCHANGE SE STE 420
ATLANTA GA
30339-2022
US

IV. Provider business mailing address

1900 THE EXCHANGE SE STE 420
ATLANTA GA
30339-2022
US

V. Phone/Fax

Practice location:
  • Phone: 678-460-0345
  • Fax: 678-460-0350
Mailing address:
  • Phone: 678-460-0345
  • Fax: 678-460-0350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC006038
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0905
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: