Provider Demographics
NPI:1720251978
Name:TORRES, LEANA (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:LEANA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5427 E MADERA ST.
Mailing Address - Street 2:BLDG 4339
Mailing Address - City:DAVIS MONTHAN AIR FORCE BASE
Mailing Address - State:AZ
Mailing Address - Zip Code:85707
Mailing Address - Country:US
Mailing Address - Phone:520-228-4357
Mailing Address - Fax:520-228-5283
Practice Address - Street 1:4175 S ALAMO AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85707-4402
Practice Address - Country:US
Practice Address - Phone:520-228-4357
Practice Address - Fax:520-228-5283
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical