Provider Demographics
NPI:1164890661
Name:TORNO MEDIATION & MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:TORNO MEDIATION & MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORNO
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC-MH QMHP
Authorized Official - Phone:605-718-3613
Mailing Address - Street 1:324 SAINT JOSEPH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2829
Mailing Address - Country:US
Mailing Address - Phone:605-718-3613
Mailing Address - Fax:
Practice Address - Street 1:324 SAINT JOSEPH ST STE 202
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2829
Practice Address - Country:US
Practice Address - Phone:605-718-3613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH 2284101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty