Provider Demographics
NPI:1659519544
Name:TORRES, GEORGE A (BA, MS)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:A
Last Name:TORRES
Suffix:
Gender:M
Credentials:BA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 W SUMMIT WALK CT
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1013
Mailing Address - Country:US
Mailing Address - Phone:602-228-2713
Mailing Address - Fax:
Practice Address - Street 1:3333 W ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-3403
Practice Address - Country:US
Practice Address - Phone:602-764-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1407343101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor