Provider Demographics
NPI:1164317624
Name:TORPHY, MARK (LMFT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:TORPHY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 HERITAGE MANOR WALK
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1002
Mailing Address - Country:US
Mailing Address - Phone:414-807-2727
Mailing Address - Fax:414-755-7000
Practice Address - Street 1:2751 HERITAGE MANOR WALK
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1002
Practice Address - Country:US
Practice Address - Phone:414-807-2727
Practice Address - Fax:414-755-7000
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT002178106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist