Provider Demographics
NPI:1467765461
Name:TORRES, KRISTA LEE (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:LEE
Last Name:TORRES
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:LEE
Other - Last Name:MARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-S
Mailing Address - Street 1:4630 50TH ST STE 610
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-3520
Mailing Address - Country:US
Mailing Address - Phone:806-577-2397
Mailing Address - Fax:806-702-8169
Practice Address - Street 1:4630 50TH ST STE 610
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-3520
Practice Address - Country:US
Practice Address - Phone:806-577-2397
Practice Address - Fax:806-702-8169
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64732101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64732OtherLPC