Provider Demographics
NPI:1376089573
Name:THE PRACTICE: HEALING BODY, MIND, AND SOUL PLLC
Entity Type:Organization
Organization Name:THE PRACTICE: HEALING BODY, MIND, AND SOUL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, LPC
Authorized Official - Phone:806-577-2844
Mailing Address - Street 1:3805 22ND ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1142
Mailing Address - Country:US
Mailing Address - Phone:806-577-2844
Mailing Address - Fax:806-702-8169
Practice Address - Street 1:3805 22ND ST STE 1C
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1142
Practice Address - Country:US
Practice Address - Phone:806-577-2844
Practice Address - Fax:806-702-8169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty