Provider Demographics
NPI:1861050270
Name:TORRES, MELITA YVONNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELITA
Middle Name:YVONNE
Last Name:TORRES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:MELITA
Other - Middle Name:YVONNE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1300 EL PRESIDENTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-2561
Mailing Address - Country:US
Mailing Address - Phone:956-596-1970
Mailing Address - Fax:956-884-7160
Practice Address - Street 1:1300 EL PRESIDENTE AVE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-2561
Practice Address - Country:US
Practice Address - Phone:956-596-1970
Practice Address - Fax:956-884-7160
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-31
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76665101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional