Provider Demographics
NPI:1568483592
Name:TORRICE, GEORGE A (NHLMHC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:TORRICE
Suffix:
Gender:M
Credentials:NHLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1164
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-1164
Mailing Address - Country:US
Mailing Address - Phone:603-860-3418
Mailing Address - Fax:603-626-1191
Practice Address - Street 1:65 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1905
Practice Address - Country:US
Practice Address - Phone:603-622-7959
Practice Address - Fax:603-626-1191
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH50101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007687Medicaid