Provider Demographics
NPI:1952171787
Name:CHANDLER, TORI (LMHC)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:
Other - Last Name:CIRCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:3931 SCHOONER LOOP
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-6072
Mailing Address - Country:US
Mailing Address - Phone:253-355-7894
Mailing Address - Fax:
Practice Address - Street 1:3931 SCHOONER LOOP
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-6072
Practice Address - Country:US
Practice Address - Phone:253-355-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61223662101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty