Provider Demographics
NPI:1407403074
Name:DEL TORRES BEHAVIORAL HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:DEL TORRES BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANIKA
Authorized Official - Middle Name:DE'VORIA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-903-3637
Mailing Address - Street 1:11903 DURAN CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-5217
Mailing Address - Country:US
Mailing Address - Phone:713-903-3637
Mailing Address - Fax:
Practice Address - Street 1:11903 DURAN CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-5217
Practice Address - Country:US
Practice Address - Phone:713-903-3637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children