Healthcare Provider Details

I. General information

NPI: 1588500045
Provider Name (Legal Business Name): TERRI LEE TORCHIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 DECKER RD
WALLKILL NY
12589-3349
US

IV. Provider business mailing address

661 DECKER RD
WALLKILL NY
12589-3349
US

V. Phone/Fax

Practice location:
  • Phone: 914-213-3412
  • Fax:
Mailing address:
  • Phone: 914-213-3412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number069510
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: