Provider Demographics
NPI:1356681464
Name:WEESE, TORRI RANEE
Entity Type:Individual
Prefix:
First Name:TORRI
Middle Name:RANEE
Last Name:WEESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GRIT THERAPY
Mailing Address - Street 2:998 BLUE RIVER PARKWAY
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80497-1822
Mailing Address - Country:US
Mailing Address - Phone:720-600-7447
Mailing Address - Fax:541-396-1012
Practice Address - Street 1:12567 W CEDAR DR STE 250
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2039
Practice Address - Country:US
Practice Address - Phone:303-691-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000001047104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker