Provider Demographics
NPI:1649658451
Name:TORRES, PAIGE
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name: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 1:1000 MONTAGE WAY
Mailing Address - Street 2:APT 6209
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-6067
Mailing Address - Country:US
Mailing Address - Phone:336-529-9820
Mailing Address - Fax:
Practice Address - Street 1:1000 MONTAGE WAY
Practice Address - Street 2:APT 6209
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-6067
Practice Address - Country:US
Practice Address - Phone:336-529-9820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker