MEDICARE: ROCHELL GARZA TORRIS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	74078	TX

General Provider Information

NPI Number	:	1093248338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELL GARZA TORRIS LPC

Provider Business Mailing Address
First Line	:	6010 W SPRING CREEK PKWY STE 247
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3569
Country	:	US
Telephone Number	:	469-573-3031
Fax Number	:	469-202-5484

Provider Business Practice Location Address
First Line	:	6010 W SPRING CREEK PKWY STE 247
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3569
Country	:	US
Telephone Number	:	469-573-3031
Fax Number	:	469-202-5484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	01/31/2020

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