Provider Demographics
NPI:1144693706
Name:WAITE, TORIE (LMSW, CSWI)
Entity type:Individual
Prefix:
First Name:TORIE
Middle Name:
Last Name:WAITE
Suffix:
Gender:F
Credentials:LMSW, CSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 ALLEN LN STE 130
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2208
Mailing Address - Country:US
Mailing Address - Phone:702-385-1072
Mailing Address - Fax:
Practice Address - Street 1:4455 ALLEN LN
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2204
Practice Address - Country:US
Practice Address - Phone:702-927-9271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225C00000X
NVIC-1801103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor