Healthcare Provider Details

I. General information

NPI: 1750893723
Provider Name (Legal Business Name): ANA GUADALUPE TORRES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 W TIETAN ST
WALLA WALLA WA
99362-4445
US

IV. Provider business mailing address

512 SW ALICIA LOOP
COLLEGE PLACE WA
99324-1292
US

V. Phone/Fax

Practice location:
  • Phone: 509-525-3720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60731538
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61060416
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: