Most Relevant Information
Provider Data
| NPI Number: | 1003524075 |
| Provider Name: | LACEY TORRES LPC-ASSOCIATE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 90101 |
Most Important Dates
| Enumeration Date: | 11/09/2022 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
16628 HIGHWAY 36
NEEDVILLE
TX
77461
Practice Location Phone/Fax
| Phone: | 7133806439 |
| Fax: |
Provider Mailing Location
16035 HIGHWAY 36
NEEDVILLE
TX
774619318
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |