Healthcare Provider Details

I. General information

NPI: 1710944947
Provider Name (Legal Business Name): TORRANCE COUNTY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 US RT. 66 SUITE D
MORIARTY NM
87035
US

IV. Provider business mailing address

PO BOX 1978
MORIARTY NM
87035-1978
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-9135
  • Fax: 505-832-9404
Mailing address:
  • Phone: 505-832-9135
  • Fax: 505-832-9404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1791
License Number StateNM

VIII. Authorized Official

Name: JOANN DELCURTO
Title or Position: OWNER
Credential: MA, LPCC, LADAC
Phone: 505-832-9135