Provider Demographics
NPI:1518347541
Name:TORRES, RUBY L (LPC)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:L
Last Name:TORRES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12521 NACOGDOCHES RD
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2131
Mailing Address - Country:US
Mailing Address - Phone:210-654-7900
Mailing Address - Fax:
Practice Address - Street 1:12521 NACOGDOCHES RD
Practice Address - Street 2:SUITE # 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2131
Practice Address - Country:US
Practice Address - Phone:210-654-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18723101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional