Healthcare Provider Details

I. General information

NPI: 1124983721
Provider Name (Legal Business Name): DANIELLE C TORRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10510 JOOR RD STE 300A
BATON ROUGE LA
70818-3925
US

IV. Provider business mailing address

P.OBOX 82283
BATON ROUGE LA
70884
US

V. Phone/Fax

Practice location:
  • Phone: 225-960-2403
  • Fax:
Mailing address:
  • Phone: 985-726-2860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: