Healthcare Provider Details

I. General information

NPI: 1013277516
Provider Name (Legal Business Name): MALERIE TORRES LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 SUTTER PKWY
DUBLIN OH
43016-8936
US

IV. Provider business mailing address

5175 EMERALD PKWY
DUBLIN OH
43017-1008
US

V. Phone/Fax

Practice location:
  • Phone: 614-761-5820
  • Fax: 614-761-5893
Mailing address:
  • Phone: 614-764-5913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number513
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2202775-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: