Provider Demographics
NPI:1699224659
Name:TORREZ, MELISSA MAE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MAE
Last Name:TORREZ
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 1:2330 W DEWDROP TRL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-0721
Mailing Address - Country:US
Mailing Address - Phone:602-828-6021
Mailing Address - Fax:
Practice Address - Street 1:2330 W DEWDROP TRL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-0721
Practice Address - Country:US
Practice Address - Phone:602-828-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC19340101YM0800X, 101YM0800X
CAPCCI2052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health