Healthcare Provider Details
I. General information
NPI: 1265713366
Provider Name (Legal Business Name): REBECCA MONICA TORRES ED.S., NCSP, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/01/2011
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 S MAIN ST STE 249
LAS CRUCES NM
88001-1243
US
IV. Provider business mailing address
505 S MAIN ST STE 249
LAS CRUCES NM
88001-1243
US
V. Phone/Fax
- Phone: 575-635-7050
- Fax:
- Phone: 575-635-7050
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | CMH0217351 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | 337836 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: