Basic Information
| Provider Information | |||||||||
| NPI: | 1518452069 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRES | ||||||||
| FirstName: | ALEXIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13731 E ANN AVE | ||||||||
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| City: | PARLIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936482805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592833074 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2719 N AIR FRESNO DR | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937271547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596008918 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2018 | ||||||||
| LastUpdateDate: | 11/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 135637 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.