Provider Demographics
NPI:1861465379
Name:TORPEY, GLENNIS ANN (LPC-MH)
Entity Type:Individual
Prefix:MRS
First Name:GLENNIS
Middle Name:ANN
Last Name:TORPEY
Suffix:
Gender:F
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9709 WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:BLACK HAWK
Mailing Address - State:SD
Mailing Address - Zip Code:57718-9219
Mailing Address - Country:US
Mailing Address - Phone:605-381-8297
Mailing Address - Fax:
Practice Address - Street 1:809 SOUTH ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3583
Practice Address - Country:US
Practice Address - Phone:605-381-8297
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH 2024101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6575142Medicaid
SD4997422OtherWELLMARK BLUE CROSS BLUE