Basic Information
| Provider Information | |||||||||
| NPI: | 1467889170 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ANDREA TORREZ, MA, LCSW, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2488 W WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | NAMPA | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836862677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083508998 | ||||||||
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| Practice Location | |||||||||
| Address1: | 17 12TH AVE S | ||||||||
| Address2: | SUITE 207 | ||||||||
| City: | NAMPA | ||||||||
| State: | ID | ||||||||
| PostalCode: | 836513952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083508998 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2013 | ||||||||
| LastUpdateDate: | 09/26/2013 | ||||||||
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| AuthorizedOfficialLastName: | TORREZ | ||||||||
| AuthorizedOfficialFirstName: | ANDREA | ||||||||
| AuthorizedOfficialMiddleName: | NOEL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2083508998 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LCSW-30219 | ID | Y | Agencies | Community/Behavioral Health |
No ID Information.