Healthcare Provider Details

I. General information

NPI: 1386606846
Provider Name (Legal Business Name): LISA MARIE TORREY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 WASHINGTON STREET
BATH ME
04530
US

IV. Provider business mailing address

682 WASHINGTON STREET
BATH ME
04530
US

V. Phone/Fax

Practice location:
  • Phone: 207-442-0682
  • Fax: 207-442-0680
Mailing address:
  • Phone: 207-442-0682
  • Fax: 207-442-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC8207
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: