Provider Demographics
NPI:1013575976
Name:TORRES, LIZVETT MORALES
Entity Type:Individual
Prefix:MS
First Name:LIZVETT
Middle Name:MORALES
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30220 LAS FLORES WAY
Mailing Address - Street 2:
Mailing Address - City:THOUSAND PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92276-3024
Mailing Address - Country:US
Mailing Address - Phone:442-215-6349
Mailing Address - Fax:
Practice Address - Street 1:30220 LAS FLORES WAY
Practice Address - Street 2:
Practice Address - City:THOUSAND PALMS
Practice Address - State:CA
Practice Address - Zip Code:92276-3024
Practice Address - Country:US
Practice Address - Phone:442-215-6349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty