Provider Demographics
NPI:1841873072
Name:TORRES-BAUTISTA, ANABELLE (M ED, LPC)
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:TORRES-BAUTISTA
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 E RINGGOLD ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6967
Mailing Address - Country:US
Mailing Address - Phone:956-520-2480
Mailing Address - Fax:
Practice Address - Street 1:1501 E RINGGOLD ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6967
Practice Address - Country:US
Practice Address - Phone:956-520-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health