Provider Demographics
NPI:1134478845
Name:TORRES, KARLA (LMFT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28125 BRADLEY RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2279
Mailing Address - Country:US
Mailing Address - Phone:951-293-1921
Mailing Address - Fax:951-848-6277
Practice Address - Street 1:28125 BRADLEY RD STE 260
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2279
Practice Address - Country:US
Practice Address - Phone:951-293-1921
Practice Address - Fax:951-848-6277
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14430712101YA0400X
CALMFT112224106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAJMedicaid
CAAKMedicaid
CAAIMedicaid