Provider Demographics
NPI:1083951388
Name:TORRES, HENRY (LPC)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 CENTRAL AVENUE
Mailing Address - Street 2:ROOM 427 SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610
Mailing Address - Country:US
Mailing Address - Phone:203-551-7609
Mailing Address - Fax:203-551-7690
Practice Address - Street 1:1635 CENTRAL AVE RM 427
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2717
Practice Address - Country:US
Practice Address - Phone:203-551-7609
Practice Address - Fax:203-551-7690
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2176101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2176OtherPROFESSIONAL COUNSELOR STATE OF CT