Provider Demographics
| NPI: | 1629869623 |
|---|---|
| Name: | EMMANUEL TORRES, LCSW, A PROFESSIONAL CORPORATION |
| Entity type: | Organization |
| Organization Name: | EMMANUEL TORRES, LCSW, A PROFESSIONAL CORPORATION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/CLINICAL DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | EMMANUEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | TORRES |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LCSW |
| Authorized Official - Phone: | 424-233-7887 |
| Mailing Address - Street 1: | 595 E COLORADO BLVD STE 523 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PASADENA |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91101-2017 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 595 E COLORADO BLVD STE 523 |
| Practice Address - Street 2: | |
| Practice Address - City: | PASADENA |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91101-2017 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 424-233-7887 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-05-16 |
| Last Update Date: | 2025-05-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |