MEDICARE: MRS. GLENNIS ANN TORPEY LPC-MH

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	101YM0800X	Mental Health Counselor	LPC-MH 2024	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4997422	OTHER	SD	WELLMARK BLUE CROSS BLUE

General Provider Information

NPI Number	:	1861465379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLENNIS ANN TORPEY LPC-MH

Provider Business Mailing Address
First Line	:	9709 WALDEN LN
Second Line	:
City	:	BLACK HAWK
State	:	SD
Zip	:	57718-9219
Country	:	US
Telephone Number	:	605-381-8297
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 SOUTH ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-3583
Country	:	US
Telephone Number	:	605-381-8297
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/08/2007

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