Provider Demographics
NPI:1467889170
Name:ANDREA TORREZ, MA, LCSW, LLC
Entity Type:Organization
Organization Name:ANDREA TORREZ, MA, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:TORREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-350-8998
Mailing Address - Street 1:2488 W WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-2677
Mailing Address - Country:US
Mailing Address - Phone:208-350-8998
Mailing Address - Fax:
Practice Address - Street 1:17 12TH AVE S
Practice Address - Street 2:SUITE 207
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3952
Practice Address - Country:US
Practice Address - Phone:208-350-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-30219251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health