Provider Demographics
NPI:1649897166
Name:TORRES, SHAYNA (LMFT-A)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 MURMURING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-2933
Mailing Address - Country:US
Mailing Address - Phone:512-923-5016
Mailing Address - Fax:
Practice Address - Street 1:112 CIMARRON PARK LOOP STE B
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2850
Practice Address - Country:US
Practice Address - Phone:512-923-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203503106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist