Healthcare Provider Details

I. General information

NPI: 1962397489
Provider Name (Legal Business Name): KERRI HUNSAKER TORREZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2067 EAGLEPATH CIR
HENDERSON NV
89074-0673
US

IV. Provider business mailing address

2067 EAGLEPATH CIR
HENDERSON NV
89074-0673
US

V. Phone/Fax

Practice location:
  • Phone: 702-787-8247
  • Fax:
Mailing address:
  • Phone: 702-787-8247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number216603
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12351-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: