Provider Demographics
NPI:1093107260
Name:TORGERSON, BRIANA (MA, LADAC II)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:MA, LADAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 WESTLAWN DR APT B204
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4941
Mailing Address - Country:US
Mailing Address - Phone:615-829-6017
Mailing Address - Fax:
Practice Address - Street 1:4425 WESTLAWN DR APT B204
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4941
Practice Address - Country:US
Practice Address - Phone:321-684-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TN1551101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health