Provider Demographics
NPI:1972858223
Name:ARANA-TORRES, BRISSA YUNUEM
Entity Type:Individual
Prefix:
First Name:BRISSA
Middle Name:YUNUEM
Last Name:ARANA-TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5580 W FLAMINGO RD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-0165
Mailing Address - Country:US
Mailing Address - Phone:702-724-3438
Mailing Address - Fax:702-924-0628
Practice Address - Street 1:5580 W FLAMINGO RD STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0165
Practice Address - Country:US
Practice Address - Phone:702-724-3438
Practice Address - Fax:702-924-0627
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
NV8631M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker