Provider Demographics
NPI:1093448029
Name:TORRES, TANIA (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:TANIA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-0248
Mailing Address - Country:US
Mailing Address - Phone:956-314-8412
Mailing Address - Fax:
Practice Address - Street 1:930 S BELL BLVD STE 306
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3976
Practice Address - Country:US
Practice Address - Phone:512-829-8738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNAOtherCOLORS OF AUSTIN