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 |