Provider Demographics
NPI:1568266161
Name:TORRES, NOELLE TIARAE (LAPC)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:TIARAE
Last Name:TORRES
Suffix:
Gender:
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 N WASHINGTON AVE STE 711
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1541
Mailing Address - Country:US
Mailing Address - Phone:570-504-3428
Mailing Address - Fax:
Practice Address - Street 1:327 N WASHINGTON AVE STE 711
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1541
Practice Address - Country:US
Practice Address - Phone:570-504-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty