Provider Demographics
NPI:1992733794
Name:TORRES, OMAR (LCSW)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5411
Mailing Address - Country:US
Mailing Address - Phone:915-534-7227
Mailing Address - Fax:915-544-1997
Practice Address - Street 1:101 LIVINGSTON LOOP STE C1
Practice Address - Street 2:
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9753
Practice Address - Country:US
Practice Address - Phone:575-824-9000
Practice Address - Fax:866-232-9241
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-092881041C0700X
TX27442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical