Healthcare Provider Details

I. General information

NPI: 1972858223
Provider Name (Legal Business Name): BRISSA YUNUEM ARANA-TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MITCHELL BLVD BLDG 375
LAUGHLIN AFB TX
78843-5242
US

IV. Provider business mailing address

5580 W FLAMINGO RD STE 107
LAS VEGAS NV
89103-0165
US

V. Phone/Fax

Practice location:
  • Phone: 702-624-3568
  • Fax:
Mailing address:
  • Phone: 702-724-3438
  • Fax: 702-924-0628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10898-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: