Provider Demographics
NPI:1083354450
Name:TORRES, BIANEY L
Entity Type:Individual
Prefix:
First Name:BIANEY
Middle Name:L
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BIANEY
Other - Middle Name:L
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1033 ZINFANDEL DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:CA
Mailing Address - Zip Code:93926-9413
Mailing Address - Country:US
Mailing Address - Phone:831-783-6152
Mailing Address - Fax:
Practice Address - Street 1:1033 ZINFANDEL DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:CA
Practice Address - Zip Code:93926-9413
Practice Address - Country:US
Practice Address - Phone:831-783-6152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0109220-013-00002OtherAETNA INSURANCE